| Dr Bruce Martin Ennis, MD | |
|
675 N Causeway Blvd, Mandeville, LA 70448-4600 | |
| (985) 200-3530 | |
| (985) 202-2010 |
| Full Name | Dr Bruce Martin Ennis |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 42 Years |
| Location | 675 N Causeway Blvd, Mandeville, 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 |
|---|---|---|---|
| 1639134901 | NPI | - | NPPES |
| 31725ZYJT | Other | LA | MEDICARE |
| 1973025 | Medicaid | LA | |
| 2432401 | Medicaid | LA |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Oaks Medical Center, L L C | Hammond, LA | Hospital |
| St Tammany Parish Hospital | Covington, LA | Hospital |
| Ochsner Clinic Foundation | New orleans, LA | Hospital |
| Ochsner Medical Center - Baton Rouge | Baton rouge, LA | Hospital |
| Entity Name | Riverside Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982767166 PECOS PAC ID: 3173430196 Enrollment ID: O20040407000623 |
| Entity Name | North Oaks Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972630705 PECOS PAC ID: 2466629522 Enrollment ID: O20120117000359 |
| Entity Name | North Oaks Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427035211 PECOS PAC ID: 9133378870 Enrollment ID: O20121012000490 |
| Entity Name | North Shore Heart And Vascular Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376992362 PECOS PAC ID: 5193008290 Enrollment ID: O20170216000234 |
| Entity Name | Cardiovascular Specialty Care Center Of Covington, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184140154 PECOS PAC ID: 2365717139 Enrollment ID: O20171004000671 |
| Entity Name | Cardiovascular Specialty Cath Center Of Covington, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861911166 PECOS PAC ID: 7618354168 Enrollment ID: O20220523000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce Martin Ennis, MD 675 N Causeway Blvd, Mandeville, LA 70448-4600 Ph: (985) 200-3530 | Dr Bruce Martin Ennis, MD 675 N Causeway Blvd, Mandeville, LA 70448-4600 Ph: (985) 200-3530 |
Dr. Israr Ahmed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 639 Lotus Dr N, Suite B, Mandeville, LA 70471 Phone: 985-626-6133 Fax: 985-626-6136 | |
Dr. Jacqueline Provosty Guillot, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 717 N Beau Chene Dr, Mandeville, LA 70471 Phone: 985-966-4405 | |
Dr. Naveed Malik, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4404 Highway 22, Mandeville, LA 70471 Phone: 985-792-7325 Fax: 985-792-7327 | |
Anna Christine Davis, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 69164 Highway 59, Suite 2, Mandeville, LA 70471 Phone: 985-951-7882 Fax: 985-951-7721 | |
Terrence Lenoir Mathers, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 524 Marigny Ave, Mandeville, LA 70448 Phone: 985-373-8380 | |
Dr. Elizabeth Ann Recupero, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 103 Concorde Pl, Mandeville, LA 70471 Phone: 619-648-1247 Fax: 888-354-0043 | |
Kweli Johari Amusa, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2735 Highway 190, Suite D, Mandeville, LA 70471 Phone: 985-778-2510 |