Maureen Mcdonald Jacobs, | |
1541 Kings Hwy, Shreveport, LA 71103-4228 | |
(318) 626-0000 | |
Not Available |
Full Name | Maureen Mcdonald Jacobs |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1541 Kings Hwy, Shreveport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659451318 | NPI | - | NPPES |
049394202 | Medicaid | TX | |
1900117 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP01981 (Louisiana) | Primary |
Entity Name | Tandem Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356453583 PECOS PAC ID: 0446159685 Enrollment ID: O20040107000123 |
Entity Name | Louisiana State University Health Sciences Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558441857 PECOS PAC ID: 6103730908 Enrollment ID: O20040212000036 |
Entity Name | University Health Shreveport, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619443611 PECOS PAC ID: 7416207196 Enrollment ID: O20181109000875 |
Mailing Address | Practice Location Address |
---|---|
Maureen Mcdonald Jacobs, 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: (318) 626-0287 | Maureen Mcdonald Jacobs, 1541 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 626-0000 |
Billy B Miller Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118 Phone: 318-212-5000 | |
Ms. Lisa Nicole Kellogg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5000 | |
Kurvis Antione Davis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 367 Carrollton Ave, Shreveport, LA 71105 Phone: 318-573-0604 | |
Brian House, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Michael Liles, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5000 | |
Kerri Annette Mullone, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Mr. Caleb Phillips, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8001 Youree Dr, Shreveport, LA 71115 Phone: 318-212-3000 |