| Dr Henry Govan Taliaferro, MD | |
|
2516 Broadmoor Blvd, Monroe, LA 71201-2988 | |
| (318) 812-1125 | |
| (318) 812-1129 |
| Full Name | Dr Henry Govan Taliaferro |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 52 Years |
| Location | 2516 Broadmoor Blvd, Monroe, 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 |
|---|---|---|---|
| 1992844435 | NPI | - | NPPES |
| 1194972 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 012237 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Monroe Surgical Hospital | Monroe, LA | Hospital |
| St Francis Medical Center | Monroe, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baton Rouge Clinic, A Medical Corporation | 1254317001 | 266 |
| Entity Name | Baton Rouge Clinic, A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871546911 PECOS PAC ID: 1254317001 Enrollment ID: O20040624000911 |
| Entity Name | Affinity Health Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023291226 PECOS PAC ID: 9335226547 Enrollment ID: O20080411000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Henry Govan Taliaferro, MD 130 Desiard St, Suite 355, Monroe, LA 71201-7319 Ph: (318) 807-7875 | Dr Henry Govan Taliaferro, MD 2516 Broadmoor Blvd, Monroe, LA 71201-2988 Ph: (318) 812-1125 |
Wilson Thomas Barham, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2802 Kilpatrick Blvd, Monroe, LA 71201 Phone: 318-855-6282 Fax: 318-855-6424 | |
David Rene Dugas, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2802 Kilpatrick Blvd, Monroe, LA 71201 Phone: 318-322-3066 Fax: 318-387-5623 | |
Dr. Lee Anthony Miller, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2802 Kilpatrick Blvd, Monroe, LA 71201 Phone: 318-855-6282 Fax: 318-855-6424 | |
Dr. Joel W Norris, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2516 Broadmoor Blvd, Monroe, LA 71201 Phone: 318-812-1125 Fax: 318-812-1129 |