| Alfonso Aquino, MD | |
|
1701 Old Minden Rd Ste 20, Bossier City, LA 71111-4846 | |
| (870) 897-5333 | |
| Not Available |
| Full Name | Alfonso Aquino |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 49 Years |
| Location | 1701 Old Minden Rd Ste 20, Bossier City, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063479681 | NPI | - | NPPES |
| 102477001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | R-3293 (Arkansas) | Secondary |
| 207L00000X | Anesthesiology | 324753 (Louisiana) | Secondary |
| 207L00000X | Anesthesiology | G2308 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Trinity Clinic | 3072426741 | 1246 |
| Entity Name | U S Anesthesia Partners Of Texas, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548208564 PECOS PAC ID: 7315850351 Enrollment ID: O20031106000563 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Northstar Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Alfonso Aquino, MD Po Box 6228, Texarkana, TX 75505-6228 Ph: (903) 735-9802 | Alfonso Aquino, MD 1701 Old Minden Rd Ste 20, Bossier City, LA 71111-4846 Ph: (870) 897-5333 |
Dr. John G Noles, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr Ste 300, Bossier City, LA 71111 Phone: 318-212-3636 Fax: 318-212-3649 | |
Macey Sutherland, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 2400 Hospital Dr, Bossier City, LA 71111 Phone: 318-212-7000 | |
David Elkind Hirsch, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr, Suite 300, Bossier City, LA 71111 Phone: 318-212-7960 Fax: 318-212-7965 | |
Erika Lacroix, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Dr, Bossier City, LA 71111 Phone: 318-212-7000 |