| Jay Davis, | |
|
420 Avenue F, Bogalusa, LA 70427-3634 | |
| (985) 730-7001 | |
| (985) 730-7006 |
| Full Name | Jay Davis |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 420 Avenue F, Bogalusa, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861735136 | NPI | - | NPPES |
| 322466 | Other | LA | STATE LICENSE |
| Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661 |
| Entity Name | Our Lady Of The Angels Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912334533 PECOS PAC ID: 7012144322 Enrollment ID: O20140602000869 |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Davis, 1542 Tulane Ave, Lsuhsc Dept Of Obgyn, New Orleans, LA 70112-2865 Ph: (504) 568-4890 | Jay Davis, 420 Avenue F, Bogalusa, LA 70427-3634 Ph: (985) 730-7001 |
Heather Smith, NP Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 420 Avenue F, Bogalusa, LA 70427 Phone: 985-730-7001 | |
Karroll L Payne, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 420 Avenue F, Bogalusa, LA 70427 Phone: 985-730-7001 Fax: 985-730-7006 | |
Dr. Maria Christina Sunio Buenaflor, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 420 Avenue F, Bogalusa, LA 70427 Phone: 985-730-7001 Fax: 985-730-7006 | |
Ronak Shah, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 433 Plaza St Ste 1a&1b, Bogalusa, LA 70427 Phone: 985-730-7001 Fax: 985-730-7006 |