| Dr Alicia Moore, AU | |
|
2050 Gause Blvd E Ste 200, Slidell, LA 70461-5425 | |
| (985) 646-4400 | |
| (985) 646-4408 |
| Full Name | Dr Alicia Moore |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 38 Years |
| Location | 2050 Gause Blvd E Ste 200, Slidell, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306850003 | NPI | - | NPPES |
| 1169307 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 2848 (Louisiana) | Primary |
| 237600000X | Audiologist-hearing Aid Fitter | 2848 (Louisiana) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Our Lady Of The Lake Physician Group Llc | 4587849781 | 637 |
| Provider Name | Our Lady of the Lake Physician Group LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alicia Moore, AU 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (985) 646-4400 | Dr Alicia Moore, AU 2050 Gause Blvd E Ste 200, Slidell, LA 70461-5425 Ph: (985) 646-4400 |
Elizabeth Kim Montgomery, AU.D., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2050 Gause Blvd E Ste 200, Slidell, LA 70461 Phone: 985-646-4400 Fax: 985-646-4408 |
Dr. Olivia Vanderford, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3026 Gause Blvd E, Slidell, LA 70461 Phone: 985-649-9131 Fax: 985-649-9498 |
Dr. Ashley Elizabeth Delaune, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1850 Gause Blvd E, Slidell, LA 70461 Phone: 985-639-3777 |
Mrs. Michelle Stempel Macione, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2238 Gause Blvd E Unit A, Slidell, LA 70461 Phone: 985-649-9131 Fax: 985-649-9498 |
Dr. Amber Rabalais Scott, AU.D., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2238 Gause Blvd E, Slidell, LA 70461 Phone: 985-649-9131 |
Sears Hearing Aid Centers Audiologist Medicare: Not Enrolled in Medicare Practice Location: 150 Northshore Blvd, Slidell, LA 70460 Phone: 985-649-2325 |
Dr. Ellen S Skidmore Hontiveros, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3026 Gause Blvd E, Slidell, LA 70461 Phone: 985-649-9131 |