Provider Demographics
NPI:1740264514
Name:MEINERS, REBECCA K (MD)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:K
Last Name:MEINERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:REBECCA
Other - Middle Name:K
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:
Practice Address - Street 1:8150 JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-7715
Practice Address - Country:US
Practice Address - Phone:225-336-3100
Practice Address - Fax:225-336-3114
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD200093207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS03004056Medicaid
LA2404652Medicaid
LA29496ZMedicare PIN
LA2404652Medicaid
MS03004056Medicaid
FL298352OtherAVMED
FLI42840Medicare UPIN