| Dr Brandon Scott Ammon, MD | |
|
210 Champagne Blvd, Breaux Bridge, LA 70517-3700 | |
| (337) 332-2178 | |
| Not Available |
| Full Name | Dr Brandon Scott Ammon |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 10 Years |
| Location | 210 Champagne Blvd, Breaux Bridge, 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 |
|---|---|---|---|
| 1568816676 | NPI | - | NPPES |
| 2414062 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 307933 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ochsner Medical Center - Baton Rouge | Baton rouge, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayfair Emergency Group, Llc | 3375808645 | 30 |
| Entity Name | Kenner Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013986546 PECOS PAC ID: 8426011230 Enrollment ID: O20041111000475 |
| Entity Name | St. John Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265401509 PECOS PAC ID: 4082641303 Enrollment ID: O20050719000541 |
| Entity Name | Red Stick Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275705998 PECOS PAC ID: 2062583578 Enrollment ID: O20080611000155 |
| Entity Name | Abbeville Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760799290 PECOS PAC ID: 3375731185 Enrollment ID: O20101221000525 |
| Entity Name | St Martin Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710231774 PECOS PAC ID: 0840444683 Enrollment ID: O20130204000235 |
| Entity Name | Belle Chasse Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851714075 PECOS PAC ID: 7113140070 Enrollment ID: O20140521001580 |
| Entity Name | Luling Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528446101 PECOS PAC ID: 8325352636 Enrollment ID: O20150730013151 |
| Entity Name | Mayfair Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750870226 PECOS PAC ID: 3375808645 Enrollment ID: O20180607002576 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brandon Scott Ammon, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Brandon Scott Ammon, MD 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 Ph: (337) 332-2178 |