Dr. Mary Coenen Raven, M.D.

Internal Medicine in Baton Rouge, LA. Individual provider (NPI-1).

NPI number1427249366

StatusActive

Last updated in NPPESMay 27, 2021

Details

NPI: 1427249366
Entity type: Individual (NPI-1)
Name: Dr. Mary Coenen Raven
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: Aug 6, 2007
Certification date: May 27, 2021
Last updated: May 27, 2021

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - INTERNAL MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	200349	LA	Yes
207RH0002X	Internal Medicine, Hospice and Palliative Medicine	200349	LA

Practice location

4950 Essen Ln Ste 503
Baton Rouge, LA 70809-3738

Phone 225-765-1737 · Fax 225-765-1842

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038

Phone 225-526-0177 · Fax 225-765-9196

Is something wrong?

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Other Internal Medicine Physician providers in Baton Rouge, LA

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