| Dr William H Dennis Jr, MD | |
|
639 Lotus Dr N, Suite B, Mandeville, LA 70471-2926 | |
| (985) 626-6133 | |
| (985) 626-6136 |
| Full Name | Dr William H Dennis Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 639 Lotus Dr N, Mandeville, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982706008 | NPI | - | NPPES |
| 1949175 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 15962 (Louisiana) | Primary |
| Entity Name | Jackson Parish Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093793408 PECOS PAC ID: 9335048081 Enrollment ID: O20040102000169 |
| 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 | Webster Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245209527 PECOS PAC ID: 2961448170 Enrollment ID: O20050628000996 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William H Dennis Jr, MD 5504 Lake Side Dr, Bossier City, LA 71111-5504 Ph: (318) 464-1536 | Dr William H Dennis Jr, MD 639 Lotus Dr N, Suite B, Mandeville, LA 70471-2926 Ph: (985) 626-6133 |
Dr. Michael Christian Glassinger, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 639 Lotus Dr N, Suite B, Mandeville, LA 70471 Phone: 985-626-6133 Fax: 985-626-6136 | |
Dr. Suzanne Spencer Crater-craig, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2810 E. Causeway Approach, Mandeville, LA 70448 Phone: 985-875-2340 | |
Ahad Mussarat, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 Mulberry Ave, Mandeville, LA 70448 Phone: 985-351-3926 | |
Dr. Eulogio E Tan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 639 Lotus Dr N, Suite B, Mandeville, LA 70471 Phone: 985-626-6133 Fax: 985-626-6136 | |
Dr. Bruce Allen Groom, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 639 Lotus Drive N, Suite B, Mandeville, LA 70470 Phone: 985-626-6133 Fax: 985-626-6136 | |
Dr. Jere Michael Disney, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 639 Lotus Dr N, Suite B, Mandeville, LA 70471 Phone: 985-626-6133 Fax: 985-626-6136 | |
Dr. David Martin Lifshutz, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 639 Lotus Drive N, Suite B, Mandeville, LA 70470 Phone: 985-626-6133 Fax: 985-626-6136 |