| Jack William Heidenreich, MD | |
|
111 Acadia Drive, Raceland, LA 70394-2619 | |
| (985) 537-7575 | |
| (985) 537-7584 |
| Full Name | Jack William Heidenreich |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 111 Acadia Drive, Raceland, 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 |
|---|---|---|---|
| 1316944374 | NPI | - | NPPES |
| 1901407 | Medicaid | LA | |
| 02635262 | Medicaid | MS | |
| 080192843 | Other | LA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD.020478 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ochsner St Anne General Hospital | Raceland, LA | Hospital |
| Ochsner St Mary | Morgan city, LA | Hospital |
| Ochsner Clinic Foundation | New orleans, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ochsner Clinic Llc | 8224933619 | 2538 |
| Entity Name | Ochsner Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Entity Name | Ochsner Bayou Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1396761805 PECOS PAC ID: 0244242840 Enrollment ID: O20061104000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack William Heidenreich, MD 111 Acadia Drive, Raceland, LA 70394-2619 Ph: (985) 537-7575 | Jack William Heidenreich, MD 111 Acadia Drive, Raceland, LA 70394-2619 Ph: (985) 537-7575 |
Michael Joseph Marcello, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Acadia Dr., Raceland, LA 70394 Phone: 985-537-7575 | |
Andre Dennie Duplantis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Acadia Dr, Raceland, LA 70394 Phone: 985-537-7575 | |
Lidonna M Lancaster, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 104 Onofrio A. Lococo Dr., Raceland, LA 70394 Phone: 985-532-3804 |