| Jade Park, | |
|
301 4th St, Alexandria, LA 71301-8411 | |
| (318) 441-1041 | |
| Not Available |
| Full Name | Jade Park |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 5 Years |
| Location | 301 4th St, Alexandria, 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 |
|---|---|---|---|
| 1053988741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01093877A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| La Porte Hospital | La porte, IN | Hospital |
| Indiana University Health Starke Hospital | Knox, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Physicians Of Indiana Pc | 1052795986 | 133 |
| Entity Name | Hospitalist Physicians Of Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306576277 PECOS PAC ID: 1052795986 Enrollment ID: O20220826000967 |
| Mailing Address | Practice Location Address |
|---|---|
| Jade Park, 301 4th St, Alexandria, LA 71301-8411 Ph: () - | Jade Park, 301 4th St, Alexandria, LA 71301-8411 Ph: (318) 441-1041 |
Dr. Robert W Moore, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 225 Pecan Park Ave, Alexandria, LA 71303 Phone: 318-442-1002 Fax: 318-442-1008 | |
Robert Larimer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 4th Street, Rapides Regional Medical Center, Alexandria, LA 71301 Phone: 318-473-3000 | |
Ifedolapo Sulyman Olanrewaju, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3330 Masonic Dr, Alexandria, LA 71301 Phone: 318-487-1122 Fax: 318-449-2320 | |
Michael Gurdon Buck, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1587 N Bolton Ave, Suite 1100, Alexandria, LA 71303 Phone: 318-473-4500 Fax: 318-445-1509 | |
Dr. Margo Lashae Thomas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3335 Prescott Rd, Alexandria, LA 71301 Phone: 318-442-5758 | |
Jane Anjul Singh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Versailles Blvd Ste D, Alexandria, LA 71303 Phone: 318-528-3200 |