| Lauren Gillis Moore, MD | |
|
13960 Florida Boulevard, Livingston, LA 70754 | |
| (225) 686-0158 | |
| (225) 686-9965 |
| Full Name | Lauren Gillis Moore |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 13960 Florida Boulevard, Livingston, 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 |
|---|---|---|---|
| 1407097470 | NPI | - | NPPES |
| 4R220B116 | Other | LA | MEDICARE PTAN |
| 1945325 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD.203904 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baton Rouge General Medical Center | Baton rouge, LA | Hospital |
| North Oaks Medical Center, L L C | Hammond, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baton Rouge General Physicians Inc | 5193623643 | 140 |
| Entity Name | Baton Rouge General Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992729560 PECOS PAC ID: 5193623643 Enrollment ID: O20040616000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Gillis Moore, MD 8490 Picardy Ave, Bldg 200, Baton Rouge, LA 70809-3731 Ph: (225) 237-1754 | Lauren Gillis Moore, MD 13960 Florida Boulevard, Livingston, LA 70754 Ph: (225) 686-0158 |
Brandi Sparks Basso, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17199 Spring Ranch Rd Ste 200, Livingston, LA 70754 Phone: 225-686-4960 Fax: 225-686-4961 | |
Myia E Bozeman, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 29437 Hwy 63, Ste. 14, Livingston, LA 70754 Phone: 225-283-1356 Fax: 225-283-1705 | |
Dr. Stephen Patrick Mcculloh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13960 Florida Blvd., Livingston, LA 70754 Phone: 225-686-0158 Fax: 225-686-9965 | |
Dr. Gayle Holley Beyl, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17199 Spring Ranch Rd, Suite 200, Livingston, LA 70754 Phone: 225-686-4982 Fax: 225-686-4961 |