| Beau Fabacher Domangue, MD | |
|
4829 Bienville St, New Orleans, LA 70119-4316 | |
| (504) 512-5203 | |
| Not Available |
| Full Name | Beau Fabacher Domangue |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 9 Years |
| Location | 4829 Bienville St, New Orleans, 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 |
|---|---|---|---|
| 1588160428 | NPI | - | NPPES |
| 5315236518 | Other | MI | CDS LICENSE FROM BOARD OF PHARMACY |
| 13037585 | Medicaid | LA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Morehouse General Hospital | Bastrop, LA | Hospital |
| St Francis Medical Center | Monroe, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Morehouse General Hospital | 4284528274 | 34 |
| Entity Name | Morehouse General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790966638 PECOS PAC ID: 4284528274 Enrollment ID: O20040211000117 |
| Entity Name | Monroe Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386235331 PECOS PAC ID: 8820405079 Enrollment ID: O20210406000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Beau Fabacher Domangue, MD 4828 Bienville, New Orleans, LA 70119 Ph: (504) 512-5203 | Beau Fabacher Domangue, MD 4829 Bienville St, New Orleans, LA 70119-4316 Ph: (504) 512-5203 |
Ms. Misty T Wetzel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 963 Taft Pl, New Orleans, LA 70119 Phone: 504-309-4246 | |
Benjamin Andrew Aiken, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2000 Canal St Fl Dt2, New Orleans, LA 70112 Phone: 504-702-2287 Fax: 504-702-2500 | |
Dr. Susan Diane Taylor, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Foucher St, New Orleans, LA 70115 Phone: 504-897-2850 | |
Lisa Birdsall Fort, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3460 | |
Ms. Elizabeth Anne Clement, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2020 Gravier St, 7th Floor, New Orleans, LA 70112 Phone: 504-903-3594 | |
Sarah Elizabeth Griffin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Canal St, New Orleans, LA 70112 Phone: 347-271-0784 | |
Colin Devlin, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5022 Laurel St, New Orleans, LA 70115 Phone: 781-696-2226 |