| Chad Thomas Porter, MD | |
|
2106 Loop Rd, Winnsboro, LA 71295-3344 | |
| (318) 435-9411 | |
| Not Available |
| Full Name | Chad Thomas Porter |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 21 Years |
| Location | 2106 Loop Rd, Winnsboro, 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 |
|---|---|---|---|
| 1669652665 | NPI | - | NPPES |
| NPI | Other | LA | 1669652665 |
| 201618 | Other | LA | LICENSE |
| 35010 | Other | LA | CDS |
| 2085R0202X | Other | TAXONOMY | |
| 1217077 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | P1211 (Texas) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD.201618 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Smi Imaging Llc | 3476696220 | 376 |
| Memorial Mri And Diagnostic Llc | 6507859568 | 75 |
| Concordia Parish Hospital Service District Number One | 4587559935 | 28 |
| Entity Name | Memorial Mri And Diagnostic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912989120 PECOS PAC ID: 6507859568 Enrollment ID: O20051209000488 |
| Entity Name | Salient Radiology Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205230133 PECOS PAC ID: 7810210895 Enrollment ID: O20141223001790 |
| Entity Name | Smi Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20181008001228 |
| Entity Name | River Oaks Mri & Diagnostic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326555095 PECOS PAC ID: 7214273721 Enrollment ID: O20190103002678 |
| Mailing Address | Practice Location Address |
|---|---|
| Chad Thomas Porter, MD 6 Paloma Bend Place, Woodlands, TX 77389 Ph: (713) 818-7481 | Chad Thomas Porter, MD 2106 Loop Rd, Winnsboro, LA 71295-3344 Ph: (318) 435-9411 |
Dr. Ralph Abraham Iii, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2106 Loop Rd, Winnsboro, LA 71295 Phone: 318-412-5265 Fax: 318-435-3842 |