| Samer Bakhos, MD | |
|
7534 Highway 1, Lockport, LA 70374-3437 | |
| (800) 979-9595 | |
| (248) 662-9845 |
| Full Name | Samer Bakhos |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 7534 Highway 1, Lockport, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194997338 | NPI | - | NPPES |
| 1073075 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 204682 (Louisiana) | Secondary |
| 207Q00000X | Family Medicine | 204682 (Louisiana) | Primary |
| Entity Name | Jefferson Davis Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942679352 PECOS PAC ID: 7517269152 Enrollment ID: O20160113001922 |
| Entity Name | Juban Point Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033589379 PECOS PAC ID: 3678871217 Enrollment ID: O20160414000463 |
| Entity Name | Regional Medical Partners, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366803405 PECOS PAC ID: 8022316256 Enrollment ID: O20160506000553 |
| Mailing Address | Practice Location Address |
|---|---|
| Samer Bakhos, MD 21333 Haggerty Rd., Suite 150, Novi, MI 48375-5514 Ph: (800) 979-9595 | Samer Bakhos, MD 7534 Highway 1, Lockport, LA 70374-3437 Ph: (800) 979-9595 |
Yvette Marie Deslatte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1015 Crescent Ave, Lockport, LA 70374 Phone: 985-532-1620 |