| Dr James L Connolly, MD | |
|
1420 N Causeway Blvd, Mandeville, LA 70471-3104 | |
| (985) 327-5905 | |
| (985) 200-0840 |
| Full Name | Dr James L Connolly |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 25 Years |
| Location | 1420 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 |
|---|---|---|---|
| 1972589448 | NPI | - | NPPES |
| 256408YKEN | Other | LA | MEDICARE PTAN |
| 2728320000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | ME92995 (Florida) | Secondary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | MD205818 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Tammany Parish Hospital | Covington, LA | Hospital |
| Southern Surgical Hospital | Slidell, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Louisiana Ent, Facial Plastic And Hair Restoration, Apmc | 3375738099 | 12 |
| Entity Name | South Louisiana Ent, Facial Plastic & Hair Restoration, Apmc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831402924 PECOS PAC ID: 3375738099 Enrollment ID: O20101108001053 |
| Entity Name | Sleep Rite Psg Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497191506 PECOS PAC ID: 8123257847 Enrollment ID: O20140129000968 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James L Connolly, MD 1420 N Causeway Blvd, Mandeville, LA 70471-3104 Ph: (985) 327-5905 | Dr James L Connolly, MD 1420 N Causeway Blvd, Mandeville, LA 70471-3104 Ph: (985) 327-5905 |
John Lindhe Guarisco, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2810 E Causeway Approach, Mandeville, LA 70448 Phone: 985-875-2340 | |
Mr. Jonathan Edward Sorrel, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1420 N Causeway Blvd, Mandeville, LA 70471 Phone: 985-327-5905 Fax: 205-623-1080 | |
Matthew W Cooper, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1420 N Causeway Blvd, Mandeville, LA 70471 Phone: 985-327-5905 Fax: 985-200-0840 | |
Jason Morgan Guillot, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1420 N Causeway Blvd, Mandeville, LA 70471 Phone: 985-327-5905 Fax: 985-200-0840 |