David Kwame Tawiah Gboloo, MD - Medicare Emergency Medicine in Gonzales, LA

David Kwame Tawiah Gboloo, MD is a medicare enrolled "Internal Medicine" physician in Gonzales, Louisiana. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Our Lady Of The Lake Physician Group Llc and his current practice location is 2524 South Philippe Ave, Gonzales, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 644-1990.

David Kwame Tawiah Gboloo is licensed to practice in Louisiana (license number 13365R) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528163326.

Contact Information

David Kwame Tawiah Gboloo, MD
2524 South Philippe Ave,
Gonzales, LA 70737
(225) 644-1990
(225) 644-3264

Map and Direction




Physician's Profile

Full NameDavid Kwame Tawiah Gboloo
GenderMale
SpecialityEmergency Medicine
Experience31 Years
Location2524 South Philippe Ave, Gonzales, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Kwame Tawiah Gboloo graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1528163326
  • Provider Enumeration Date: 09/14/2006
  • Last Update Date: 05/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2365414299
  • Enrollment ID: I20040810001473

Medical Identifiers

Medical identifiers for David Kwame Tawiah Gboloo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528163326NPI-NPPES
1562262MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 13365R (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Our Lady Of The Lake Regional Medical CenterBaton rouge, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Our Lady Of The Lake Physician Group Llc4587849781521

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David Kwame Tawiah Gboloo allows following entities to bill medicare on his behalf.
Entity NameOur Lady Of The Lake Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033494943
PECOS PAC ID: 4587849781
Enrollment ID: O20120529000377

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Kwame Tawiah Gboloo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David Kwame Tawiah Gboloo, MD
5959 S Sherwood Forest Blvd,
Baton Rouge, LA 70816-6038

Ph: (225) 765-5727
David Kwame Tawiah Gboloo, MD
2524 South Philippe Ave,
Gonzales, LA 70737

Ph: (225) 644-1990

Reviews and Comments


Internal Medicine Doctors in Gonzales, LA

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Dr. Gretchen Marie Yandle, MD
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Dr. Rahil Devendra Shah, M.D.
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Dr. Carlos R Vazquez, M.D.
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Practice Location: 2211 S Burnside Ave, Ste 4, Gonzales, LA 70737
Phone: 225-647-1947    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.