| Dr Roy Divittorio, MD | |
|
15837 Paul Vega Md Dr, Suite 200, Hammond, LA 70403-1462 | |
| (985) 542-8190 | |
| (985) 543-0031 |
| Full Name | Dr Roy Divittorio |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 15837 Paul Vega Md Dr, Hammond, 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 |
|---|---|---|---|
| 1679564264 | NPI | - | NPPES |
| 00938732 | Medicaid | MS | |
| 1577103 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD14045R (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rush Foundation Hospital | Meridian, MS | Hospital |
| Slidell Memorial Hospital | Slidell, LA | Hospital |
| Ochsner Clinic Foundation | New orleans, LA | Hospital |
| Laird Hospital Inc | Union, MS | Hospital |
| Ochsner Medical Center-kenner | Kenner, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ochsner Clinic Llc | 8224933619 | 2538 |
| Entity Name | Ochsner Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Entity Name | Lallie Kemp Medical Ctr |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558303420 PECOS PAC ID: 0345238903 Enrollment ID: O20040503001188 |
| Entity Name | Northlake Gastroenterology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861484842 PECOS PAC ID: 9234197419 Enrollment ID: O20041221000263 |
| Entity Name | Radiology Associates Of Southwest Louisiana |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033215710 PECOS PAC ID: 0941243562 Enrollment ID: O20050606000347 |
| Entity Name | Second Avenue Mri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629174339 PECOS PAC ID: 0749203610 Enrollment ID: O20060105000738 |
| Entity Name | North Oaks Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164785648 PECOS PAC ID: 2466629522 Enrollment ID: O20120806000399 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roy Divittorio, MD Po Box 2277, Hammond, LA 70404-2277 Ph: (985) 542-8190 | Dr Roy Divittorio, MD 15837 Paul Vega Md Dr, Suite 200, Hammond, LA 70403-1462 Ph: (985) 542-8190 |
Dr. John Pitts Miller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Radiology, Hammond, LA 70403 Phone: 985-230-6700 Fax: 985-230-1528 | |
Dr. Sean Michael Gipson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Dr, Hammond, LA 70403 Phone: 985-230-1101 | |
Dr. Benjamin Wade Wilkerson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 15837 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-543-6079 Fax: 985-350-9950 | |
Matthew Peralta, ARDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-705-4475 | |
Mrs. Tyare Standberry, RDMS RVT Radiology Medicare: Not Enrolled in Medicare Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-345-2700 | |
Dr. Stephen M Williams, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 15790 Paul Vega Md Dr, Department Of Radiology, Hammond, LA 70403 Phone: 985-230-6700 Fax: 985-230-1528 | |
Noah Mcgill, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Drive, Radiology, Hammond, LA 70403 Phone: 985-345-2700 Fax: 985-230-1528 |