Individual provider Active NPI

Robbie Boyd Marcantel, PAC

  • Physician Assistant
  • Jena, LA
National Provider Identifier
1659345502
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAA10386RX Issued in LA
Practice address
180 Ninth St
Jena, LA 71342-3900
Phone
(318) 992-9268
Fax
(318) 992-6201
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PAA10386RX LA Primary

Addresses

Primary practice location

180 Ninth St
Jena, LA 71342-3900

Mailing address

PO Box 2780
Jena, LA 71342-2780
Phone (318) 992-9200

Other identifiers 1

IdentifierTypeStateIssuer
P000014188OtherLARAILROAD MEDICARE PALMETT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060927000324 LA Practitioner - Physician Assistant 7618972571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Service District 2 of Lasalle Parish 13 clinicians

Practice addresses (Care Compare)

187 9TH St
Jena, LA 71342-3900
Phone (318) 992-9200

Hospital & facility affiliations

  • Lasalle General Hospital Hospital, Jena, LA, CCN 190145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PAA10386RXLAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District #2 of Lasalle Parish CurrentSince Sep 10, 2019 Accepting new patients
Hospital Service District #2 of Lasalle Parish Past Accepting new patients
Patrick S. Savoy, M.D., a Professional Medical Corporation PastSince Dec 1, 2006 Accepting new patients
Patrick S. Savoy, MD, a Professional Medical Corporation PastSince Dec 1, 2006 Accepting new patients

Locations

180 Ninth St
Jena, LA 71342
Phone (318) 992-6311

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1659345502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2780",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713422780",
            "telephone_number": "318-992-9200",
            "fax_number": "318-992-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NINTH ST",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713423900",
            "telephone_number": "318-992-9268",
            "fax_number": "318-992-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCANTEL",
        "first_name": "ROBBIE",
        "middle_name": "BOYD",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PAA10386RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PALMETT",
            "identifier": "P000014188",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jena, LA

Sources for this page

Verify at the official NPI Registry.