| Dr Gisele Mckinney-hawkins, MD | |
|
100 Kingston Rd, Sulphur, LA 70663-4016 | |
| (337) 625-5843 | |
| Not Available |
| Full Name | Dr Gisele Mckinney-hawkins |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 100 Kingston Rd, Sulphur, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932182557 | NPI | - | NPPES |
| 1627321 | Medicaid | LA | |
| MD.200379 | Other | LA | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | MD200379 (Louisiana) | Primary |
| Entity Name | Lcms Obstetrics And Gynecology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649582065 PECOS PAC ID: 9537353123 Enrollment ID: O20101027001081 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20241105001350 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gisele Mckinney-hawkins, MD Po Box 122585, Dept 2585, Dallas, TX 75312-2585 Ph: (337) 494-2921 | Dr Gisele Mckinney-hawkins, MD 100 Kingston Rd, Sulphur, LA 70663-4016 Ph: (337) 625-5843 |
Dr. Edward Bernard Darby, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1200 Stelly Ln, Sulphur, LA 70663 Phone: 337-312-1000 Fax: 337-527-8963 | |
Dr. Scott Eric Bergstedt, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1200 Stelly Ln, Sulphur, LA 70663 Phone: 337-312-1000 Fax: 337-527-8963 |