Jacob Ardoin, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Shreveport, Louisiana. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 2022 and has 4 years of diverse experience with area of expertise as Ophthalmology. His current practice location is
1501 Kings Hwy, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(318) 626-2127.
Jacob Ardoin is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1629712153.
Physician's Profile
| Full Name | Jacob Ardoin |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 4 Years |
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| Location | 1501 Kings Hwy, Shreveport, Louisiana |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacob Ardoin attended and graduated from Louisiana State University School Of Medicine In Shreveport in 2022
NPI Data:
- NPI Number: 1629712153
- Provider Enumeration Date: 04/21/2022
- Last Update Date: 01/07/2026
Medicare PECOS Information:
- PECOS PAC ID: 7416435391
- Enrollment ID: I20260202001202
Medical Identifiers
Medical identifiers for Jacob Ardoin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629712153 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 349737 (Louisiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Ardoin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacob Ardoin,
1501 Kings Hwy,
Shreveport, LA 71103-4228
Ph: () - | Jacob Ardoin,
1501 Kings Hwy,
Shreveport, LA 71103-4228
Ph: (318) 626-2127 |
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