| Dr Gerard A Ballanco Jr, MD | |
|
539 E Prudhomme St, Opelousas, LA 70570-6499 | |
| (337) 942-6883 | |
| (337) 942-6830 |
| Full Name | Dr Gerard A Ballanco Jr |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 24 Years |
| Location | 539 E Prudhomme St, Opelousas, 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 |
|---|---|---|---|
| 1053330779 | NPI | - | NPPES |
| 1043184 | Medicaid | LA | |
| P00390429 | Other | LA | RAILROAD RETIREMENT MEDIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 025645 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Opelousas General Health System | Opelousas, LA | Hospital |
| Tulane Medical Center | New orleans, LA | Hospital |
| Abbeville General Hospital | Abbeville, LA | Hospital |
| Iberia Medical Center | New iberia, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Administrators Of The Tulane Educational Fund | 0446163760 | 370 |
| Acadiana Radiology Group | 1355403114 | 54 |
| Entity Name | Imaging Affiliates Of Baton Rouge, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710093687 PECOS PAC ID: 2769461862 Enrollment ID: O20040714000164 |
| Entity Name | Northwest Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568556256 PECOS PAC ID: 1153349683 Enrollment ID: O20051103000506 |
| Entity Name | Acadiana Radiology Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649422726 PECOS PAC ID: 1355403114 Enrollment ID: O20090105000094 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerard A Ballanco Jr, MD 460 Judice Rd, Sunset, LA 70584-5156 Ph: (504) 352-6078 | Dr Gerard A Ballanco Jr, MD 539 E Prudhomme St, Opelousas, LA 70570-6499 Ph: (337) 942-6883 |
Dr. Paula M. Sharkey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 539 E Prudhomme St, Opelousas, LA 70570 Phone: 337-942-6883 Fax: 337-942-6883 | |
Mr. Calvin Dale Vidrine, CRA RJ RN Radiology Medicare: Not Enrolled in Medicare Practice Location: 174 Grant Rd, Opelousas, LA 70570 Phone: 337-594-9637 Fax: 337-948-4556 | |
Carol Pratt Becker, MD Radiology Medicare: Medicare Enrolled Practice Location: 539 E Prudhomme St, Opelousas, LA 70570 Phone: 337-942-6883 Fax: 337-942-6883 | |
Dr. Edward Daniel Willett, Radiology Medicare: Not Enrolled in Medicare Practice Location: 539 East Prudhomme St, Opelousas, LA 70570 Phone: 337-942-6883 Fax: 337-942-6883 |