| Kevin Patrick Haynes Jr, MD | |
| 
					5000 Hennessy Blvd, Baton Rouge, LA 70808-4375  | |
| (225) 765-8987 | |
| (225) 765-8667 | 
| Full Name | Kevin Patrick Haynes Jr | 
|---|---|
| Gender | Male | 
| Speciality | Physical Medicine & Rehabilitation | 
| Location | 5000 Hennessy Blvd, Baton Rouge, Louisiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013543974 | NPI | - | NPPES | 
| Entity Name | Our Lady Of The Lake Physician Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kevin Patrick Haynes Jr, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 765-8987  | Kevin Patrick Haynes Jr, MD 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 Ph: (225) 765-8987  | 
Dr. Camalyn Woodard Gaines, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 7968 Essen Park, Baton Rouge, LA 70809 Phone: 225-761-6700  | |
Christopher Scaffin, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4715 Perkins Rd, Baton Rouge, LA 70808 Phone: 225-923-0110 Fax: 225-923-0111  | |
Jyoti S Pham, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 10101 Park Rowe Ave, Suite 200, Baton Rouge, LA 70810 Phone: 225-769-2200 Fax: 225-768-2185  | |
Dr. Jan Katherine Morello, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 7850 Anselmo Ln, Baton Rouge, LA 70810 Phone: 225-768-6419  | |
John E Nyboer, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 10101 Park Rowe Ave, Suite 200, Baton Rouge, LA 70810 Phone: 225-769-2200 Fax: 225-768-2185  | |
Dr. Charles Arthur Patout Jr., MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1401 N Foster Dr, Baton Rouge, LA 70806 Phone: 225-987-9013  |