| Dr Robert Mackinnon Raulerson, MD | |
|
920 Oliver Rd, Monroe, LA 71201-5702 | |
| (318) 807-4951 | |
| (318) 812-0808 |
| Full Name | Dr Robert Mackinnon Raulerson |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 41 Years |
| Location | 920 Oliver Rd, Monroe, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720021363 | NPI | - | NPPES |
| 1374580 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 018874 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Monroe Surgical Hospital | Monroe, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forsythe Family Medical Clinic, Llc | 7810278231 | 2 |
| Entity Name | Affinity Health Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023291226 PECOS PAC ID: 9335226547 Enrollment ID: O20080411000088 |
| Entity Name | Forsythe Family Medical Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184173650 PECOS PAC ID: 7810278231 Enrollment ID: O20161227000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Mackinnon Raulerson, MD 3339 Deborah Dr, Monroe, LA 71201-2150 Ph: () - | Dr Robert Mackinnon Raulerson, MD 920 Oliver Rd, Monroe, LA 71201-5702 Ph: (318) 807-4951 |
Dr. Michael Paul Watson, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 8649 Highway 165 N Ste 3, Monroe, LA 71203 Phone: 318-388-1662 Fax: 318-388-1666 | |
Helena G Altick, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 2804 Kilpatrick Blvd, Monroe, LA 71201 Phone: 318-387-2545 | |
Dr. Theresa J Ross, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 112 Saint John St, Monroe, LA 71201 Phone: 318-387-5681 Fax: 318-322-9957 |