| Benjamin Grugan, MD | |
|
180 W Esplanade Ave, Kenner, LA 70065-2467 | |
| (504) 468-8600 | |
| Not Available |
| Full Name | Benjamin Grugan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 8 Years |
| Location | 180 W Esplanade Ave, Kenner, 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 |
|---|---|---|---|
| 1760979074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 330275 (Louisiana) | Secondary |
| 207P00000X | Emergency Medicine | 0101282275 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centra Health - Lynchburg Gen Hospital | Lynchburg, VA | Hospital |
| Centra Southside Community Hospital, Inc | Farmville, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centra Medical Group Llc | 4789606088 | 681 |
| Entity Name | Centra Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Grugan, MD 180 W Esplanade Ave, Kenner, LA 70065-2467 Ph: (504) 468-8600 | Benjamin Grugan, MD 180 W Esplanade Ave, Kenner, LA 70065-2467 Ph: (504) 468-8600 |
Dr. Vanessa Maria Piazza, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 W Esplanade Ave, Kenner, LA 70065 Phone: 504-282-2875 | |
Dr. Michael Rudolf Jegart, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 180 W Esplanade Ave, Kenner, LA 70065 Phone: 985-448-3251 | |
Hanna Kaufman Lurye, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 W Esplanade Ave, Kenner, LA 70065 Phone: 504-464-8015 Fax: 504-464-8538 | |
Dr. Michele Campisi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 180 W Esplanade Ave, Kenner, LA 70065 Phone: 302-227-8508 | |
Mario Kakazu, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2552 Williams Blvd, Kenner, LA 70062 Phone: 504-463-3002 | |
Dr. Steven Dick Mehaffey, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 180 W Esplanade Ave, Kenner Regional Medical Center, Kenner, LA 70065 Phone: 504-464-8686 Fax: 504-464-8174 | |
Gerald Anthony Cvitanovich, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 708 W Esplanade Ave, Kenner, LA 70065 Phone: 504-461-9660 Fax: 504-461-8450 |