Scott Lawrence Macicek

MD | Pediatric Cardiology | Male

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Complete Profile:

Scott Lawrence Macicek basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Scott Lawrence Macicek
Credential :	MD
Gender :	Male

Business Address:

Scott Lawrence Macicek address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1514 Jefferson Hwy New Orleans, LA, 70121-2429 United States
Phone Number :	504-842-4000

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1134442049
NPI Entity Type :	Individual
First Enrolment Date :	05 Mar, 2010
Last Updated On :	21 Nov, 2012

Medicare Participation:

Scott Lawrence Macicek participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1355528563
Medicare Enrollment ID :	I20121005000568
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Louisiana State University School Of Medicine In New Orleans
Graduation Year :	2004
Accepts Medicare?	Yes. Scott Lawrence Macicek accepts medicare insurance.

Group Practice Association:

Scott Lawrence Macicek is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Scott Lawrence Macicek is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Children's Hospital	8022207745	18	200 Henry Clay Ave New Orleans, LA - 701185720 Ph: 5048969745	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Scott Lawrence Macicek are as mentioned. Primary taxonomy code for Scott Lawrence Macicek, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	N5210	TX
2080P0202X	Pediatrics Pediatric Cardiology	No	N5210	TX
2080P0202X	Pediatrics Pediatric Cardiology	Yes	MD.205586	LA

Legacy Identifiers:

Other legacy medical identifiers of Scott Lawrence Macicek such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
08333210	MEDICAID	MS
2306367	MEDICAID	LA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1315 Jefferson Hwy New Orleans, LA, 70121-2406 United States
Phone Number :	504-842-5200

Business Location:

Patients can refer following map for directions to Scott Lawrence Macicek practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.