| Brandon Gerard Gaynor, | |
|
10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810 | |
| (225) 769-2200 | |
| (225) 768-2185 |
| Full Name | Brandon Gerard Gaynor |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 16 Years |
| Location | 10101 Park Rowe Ave Ste 200, Baton Rouge, 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 |
|---|---|---|---|
| 1104068980 | NPI | - | NPPES |
| 329615 | Other | LA | LA MD LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 329615 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
| The Spine Hospital Of Louisiana | Baton rouge, LA | Hospital |
| Baton Rouge General Medical Center | Baton rouge, LA | Hospital |
| Lane Regional Medical Center | Zachary, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Neuromedical Center | 6103716477 | 103 |
| Entity Name | Neuromedical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740216399 PECOS PAC ID: 6103716477 Enrollment ID: O20040318001606 |
| Entity Name | Cla Care Of La Iii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336602101 PECOS PAC ID: 0345571584 Enrollment ID: O20191018002101 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Gerard Gaynor, 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685 Ph: (225) 769-2200 | Brandon Gerard Gaynor, 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810 Ph: (225) 769-2200 |
Scott W. Soleau, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 10101 Park Rowe Ave, Suite 200, Baton Rouge, LA 70810 Phone: 225-769-2200 Fax: 225-768-2185 | |
Thomas B Flynn, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 10101 Park Rowe Ave, Suite 200, Baton Rouge, LA 70810 Phone: 225-769-2200 Fax: 225-768-2185 | |
John R Clifford, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 10101 Park Rowe Ave, Suite 200, Baton Rouge, LA 70810 Phone: 225-769-2200 Fax: 225-768-2185 | |
Dr. Marvin Dementreous Clifton, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 4884 Constitution Ave, Ste 1e, Baton Rouge, LA 70808 Phone: 225-923-1621 Fax: 225-923-1623 | |
Dr. Anthony S Ioppolo, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 7777 Hennessy Blvd Plaza 1, 709, Baton Rouge, LA 70808 Phone: 225-757-1960 Fax: 225-757-1959 | |
Dr. Garrett Venable, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 10101 Park Rowe Ave, Baton Rouge, LA 70810 Phone: 225-768-2164 |