| Dr Isaac A Odudu, MD | |
|
639 Lotus Dr N, Suite B, Mandeville, LA 70471-2926 | |
| (985) 626-6133 | |
| (985) 626-6136 |
| Full Name | Dr Isaac A Odudu |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 38 Years |
| Location | 639 Lotus Dr N, 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 |
|---|---|---|---|
| 1780780528 | NPI | - | NPPES |
| 1558346 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 13224R (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverland Medical Center | Ferriday, LA | Hospital |
| Bunkie General Hospital | Bunkie, LA | Hospital |
| Byrd Regional Hospital | Leesville, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kisatchie Emergency Group Llc | 9537400270 | 19 |
| Emergency Staffing Solutions Inc | 9830001650 | 58 |
| Entity Name | Hospital Service District No 1 Parish Of Avoyelles State Of La |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316157845 PECOS PAC ID: 3375440910 Enrollment ID: O20031212000761 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20040816000150 |
| Entity Name | C & M Medical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710903059 PECOS PAC ID: 9436061553 Enrollment ID: O20050121000093 |
| Entity Name | Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20050610000177 |
| Entity Name | Northern Louisiana Emergency Physicians, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588828172 PECOS PAC ID: 9638246846 Enrollment ID: O20080930000036 |
| Entity Name | St Martin Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710231774 PECOS PAC ID: 0840444683 Enrollment ID: O20130204000235 |
| Entity Name | Ess Hospitalist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20130515000072 |
| Entity Name | Concord North Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952761173 PECOS PAC ID: 2860791688 Enrollment ID: O20170922000452 |
| Entity Name | Kisatchie Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235693847 PECOS PAC ID: 9537400270 Enrollment ID: O20190408001290 |
| Entity Name | Ess Of Ferriday Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346900560 PECOS PAC ID: 2769876275 Enrollment ID: O20220228000365 |
| Entity Name | Keystone Medical Services Of Ferriday, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215704754 PECOS PAC ID: 5991140600 Enrollment ID: O20240304001066 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Isaac A Odudu, MD 208 Ridgewood Blvd, Alexandria, LA 71303-3320 Ph: (318) 483-6571 | Dr Isaac A Odudu, MD 639 Lotus Dr N, Suite B, Mandeville, LA 70471-2926 Ph: (985) 626-6133 |
Mrs. Christina Lewis, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1305 W Causeway Approach, Mandeville, LA 70471 Phone: 985-674-2227 Fax: 985-674-1227 | |
Dr. Victor W Lucas, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2810 E Causeway Approach, Mandeville, LA 70448 Phone: 985-875-2340 | |
Dr. Jennifer Lynn Parkerson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2810 E Causeway Approach, Mandeville, LA 70448 Phone: 985-875-2340 | |
Dr. Naglaa A Shourbaji, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2810 E Causeway Approach, Mandeville, LA 70448 Phone: 985-875-2340 | |
Dr. Tin Tin Swe Devoe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4880 Highway 22, Mandeville, LA 70471 Phone: 985-845-8894 Fax: 985-845-1969 | |
Dr. Michael White, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2810 E Causeway Approach, Mandeville, LA 70448 Phone: 985-875-2340 | |
Dr. Jennifer J. Miles, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 201 Saint Ann Dr, Mandeville, LA 70471 Phone: 985-898-4001 |