| Ms Jillian Ann Ploof, DO | |
|
8200 Constantin Blvd Ste 210, Baton Rouge, LA 70809-3481 | |
| (225) 765-5500 | |
| (225) 765-5543 |
| Full Name | Ms Jillian Ann Ploof |
|---|---|
| Gender | Female |
| Speciality | Neurological Surgery |
| Location | 8200 Constantin Blvd Ste 210, 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 |
|---|---|---|---|
| 1790026789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 322192 (Louisiana) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 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 |
|---|---|
| Ms Jillian Ann Ploof, DO 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 526-0011 | Ms Jillian Ann Ploof, DO 8200 Constantin Blvd Ste 210, Baton Rouge, LA 70809-3481 Ph: (225) 765-5500 |
Scott W. Soleau, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 10101 Park Rowe Ave, Suite 200, Baton Rouge, LA 70810 Phone: 225-769-2200 Fax: 225-768-2185 | |
Thomas B Flynn, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 10101 Park Rowe Ave, Suite 200, Baton Rouge, LA 70810 Phone: 225-769-2200 Fax: 225-768-2185 | |
Brandon Gerard Gaynor, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810 Phone: 225-769-2200 Fax: 225-768-2185 | |
John R Clifford, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 10101 Park Rowe Ave, Suite 200, Baton Rouge, LA 70810 Phone: 225-769-2200 Fax: 225-768-2185 | |
Dr. Marvin Dementreous Clifton, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 4884 Constitution Ave, Ste 1e, Baton Rouge, LA 70808 Phone: 225-923-1621 Fax: 225-923-1623 | |
Dr. Anthony S Ioppolo, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 7777 Hennessy Blvd Plaza 1, 709, Baton Rouge, LA 70808 Phone: 225-757-1960 Fax: 225-757-1959 | |
Dr. Garrett Venable, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 10101 Park Rowe Ave, Baton Rouge, LA 70810 Phone: 225-768-2164 |