| Jeannie Y Jo, DPM | |
|
1014 Saint Clair Blvd Ste 3015, Gonzales, LA 70737-5030 | |
| (225) 745-5500 | |
| (225) 743-2459 |
| Full Name | Jeannie Y Jo |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 24 Years |
| Location | 1014 Saint Clair Blvd Ste 3015, Gonzales, 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 |
|---|---|---|---|
| 1851339477 | NPI | - | NPPES |
| 1714992 | Medicaid | LA | |
| 06774745 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | DPMPD326R (Louisiana) | Secondary |
| 213E00000X | Podiatrist | E4654 (California) | Secondary |
| 213E00000X | Podiatrist | PD326R (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Our Lady Of The Lake Physician Group Llc | 4587849781 | 579 |
| Provider Name | Ochsner Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Provider Name | Our Lady Of Lake Ascension, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306899067 PECOS PAC ID: 3577452259 Enrollment ID: O20040311000822 |
| Provider Name | Our Lady Of The Lake Physician Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeannie Y Jo, DPM 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 765-5727 | Jeannie Y Jo, DPM 1014 Saint Clair Blvd Ste 3015, Gonzales, LA 70737-5030 Ph: (225) 745-5500 |
Footsteps, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 826 W Highway 30 Ste A, Gonzales, LA 70737 Phone: 225-803-1516 |