| Jamie Park, PA-C | |
|
2500 Belle Chasse Highway, Gretna, LA 70056-7127 | |
| (504) 392-3131 | |
| Not Available |
| Full Name | Jamie Park |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2500 Belle Chasse Highway, Gretna, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033445663 | NPI | - | NPPES |
| 03853756 | Medicaid | MS | |
| 2119958 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Texas) | Primary |
| Entity Name | Integrative Emergency Services Physician Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285922542 PECOS PAC ID: 0749447936 Enrollment ID: O20120130000932 |
| Entity Name | Century Integrated Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
| Entity Name | Ies Carrollton PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134769789 PECOS PAC ID: 2961830666 Enrollment ID: O20200311001870 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Park, PA-C 2500 Belle Chasse Highway, Gretna, LA 70056-7127 Ph: (504) 392-3131 | Jamie Park, PA-C 2500 Belle Chasse Highway, Gretna, LA 70056-7127 Ph: (504) 392-3131 |
Ansam Jihad Isaid, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Belle Chasse Hwy, Gretna, LA 70056 Phone: 504-392-3131 |
Mrs. Juanita Alexander-sallier, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 145 Lapalco Blvd, Suite B, Gretna, LA 70056 Phone: 504-363-7411 Fax: 504-363-4741 |
Mr. Daniel J Burst, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 Meadowcrest St, Suite 300, Gretna, LA 70056 Phone: 504-392-7123 Fax: 504-392-7823 |
Barbara Acain Sasso, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 Ochsner Blvd Ste 320, Gretna, LA 70056 Phone: 504-371-9355 |
Sage Thomas Stuart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 605 Lapalco Blvd, Gretna, LA 70056 Phone: 504-595-8040 |
Jalen Law, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Belle Chasse Hwy, Gretna, LA 70056 Phone: 504-392-3131 |
Emily Navarro Campbell, Physician Assistant Medicare: Medicare Enrolled Practice Location: 120 Ochsner Blvd Ste 430, Gretna, LA 70056 Phone: 504-391-7620 |