| Dr Michael S Ladouceur, MD | |
|
5651 Frist Blvd, Suite 200, Hermitage, TN 37076-2054 | |
| (615) 885-0200 | |
| (615) 885-0267 |
| Full Name | Dr Michael S Ladouceur |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 5651 Frist Blvd, Hermitage, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598753758 | NPI | - | NPPES |
| 4342767 | Other | TN | BCBS |
| 3842887 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD0000031901 (Tennessee) | Primary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | MD000031901 (Tennessee) | Secondary |
| Entity Name | Advanced Diagnostic Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael S Ladouceur, MD 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 851-6033 | Dr Michael S Ladouceur, MD 5651 Frist Blvd, Suite 200, Hermitage, TN 37076-2054 Ph: (615) 885-0200 |
Dr. Michael L Reid, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 5651 Frist Boulevard, Suite 500, Hermitage, TN 37076 Phone: 615-889-3340 Fax: 615-889-6087 | |
Dr. Erik M Maryniw, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5651 Frist Blvd Ste 200, Hermitage, TN 37076 Phone: 615-885-0200 Fax: 615-885-0267 | |
Paul A Abbey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5653 Frist Blvd Ste 731, Hermitage, TN 37076 Phone: 615-885-2778 Fax: 615-986-6052 | |
Dr. Tarek Galal Elalayli, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5651 Frist Blvd, Suite 200, Hermitage, TN 37076 Phone: 615-885-0200 Fax: 615-885-0267 | |
Daniel Hagaman, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5651 Frist Blvd Ste 200, Hermitage, TN 37076 Phone: 615-885-0200 | |
Dr. Robert Marshall Dimick, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5651 Frist Boulevard, Suite 500, Hermitage, TN 37076 Phone: 615-889-3340 Fax: 615-889-6087 | |
Dr. Philip N Collis, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 302 Old Lebanon Dirt Rd Ste 200, Hermitage, TN 37076 Phone: 615-391-4545 |