| Dr Gretchen Marie Yandle, MD | |
|
2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | |
| (225) 647-8511 | |
| (225) 644-5213 |
| Full Name | Dr Gretchen Marie Yandle |
|---|---|
| Gender | Female |
| Speciality | Pulmonary Disease |
| Experience | 18 Years |
| Location | 2647 S Saint Elizabeth Blvd, Gonzales, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124211099 | NPI | - | NPPES |
| 1007757 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 202808 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Christus St Frances Cabrini Hospital | Alexandria, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pulmonary And Critical Care Specialists, L.l.c. | 9830107614 | 4 |
| Entity Name | Our Lady Of Lake Ascension, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306899067 PECOS PAC ID: 3577452259 Enrollment ID: O20040311000822 |
| Entity Name | Pulmonary & Critical Care Specialists, L.l.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730156845 PECOS PAC ID: 9830107614 Enrollment ID: O20060405000463 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gretchen Marie Yandle, MD 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 Ph: (225) 647-8511 | Dr Gretchen Marie Yandle, MD 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 Ph: (225) 647-8511 |
Mydhili Kanumilli, M.D Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-5213 | |
Niksad Abraham, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd Ste 300, Gonzales, LA 70737 Phone: 225-767-3900 Fax: 225-766-2226 | |
Mason Wade Rau, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd Ste 219, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-8358 | |
Dr. Rahil Devendra Shah, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1014 Saint Clair Blvd Ste 3030, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-743-2546 | |
Dr. Carlos R Vazquez, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2211 S Burnside Ave, Ste 4, Gonzales, LA 70737 Phone: 225-647-1947 | |
Bernard B Brach, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2647 S. St Elizabeth Blvd, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-5213 |