<unavail> in New Orleans, LA - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in New Orleans, Louisiana. The current practice location for is 3637 Canal St, New Orleans, Louisiana. For appointments, you can reach them via phone at (504) 613-0315. The mailing address for is 764 Walnut Knoll Ln, Cordova, Tennessee and phone number is (901) 756-5565.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1851015127. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (504) 613-0315.

Contact Information


	3637 Canal St New Orleans LA 70119-6110
	(504) 613-0315
	(504) 613-0316

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	3637 Canal St, New Orleans, Louisiana
Authorized Official Name and Position	Jacob Robert Rickoll (OWNER/NP)
Authorized Official Contact	5044736943
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
764 Walnut Knoll Ln Cordova TN 38018-3113 Ph: (901) 756-5565	3637 Canal St New Orleans LA 70119-6110 Ph: (504) 613-0315

NPI Details:

NPI Number	1851015127
Provider Enumeration Date	09/30/2022
Last Update Date	08/22/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	4183099294
Medicare Enrollment ID	O20230403001662

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851015127	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary
363LP2300X	Nurse Practitioner - Primary Care	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Jacob Robert Rickoll
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1225665417 PECOS PAC ID: 7416364799 Enrollment ID: I20210405000149

Reviews and Comments

Internal Medicine in New Orleans, LA

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- Medicare Primary Care in New Orleans, LA