Dr William Trent Massengale, MD | |
5326 O'donovan Drive, Baton Rouge, LA 70808-9153 | |
(225) 769-7546 | |
(225) 769-0471 |
Full Name | Dr William Trent Massengale |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 28 Years |
Location | 5326 O'donovan Drive, Baton Rouge, 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 |
---|---|---|---|
1952398893 | NPI | - | NPPES |
1530000 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 023151 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
W Trent Massengale Md Llc | 3173762283 | 3 |
Entity Name | Dermatology Clinic A Professional Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972591170 PECOS PAC ID: 6103856661 Enrollment ID: O20050816000153 |
Entity Name | Lsuhn Billing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992975775 PECOS PAC ID: 0446337802 Enrollment ID: O20080409000372 |
Entity Name | W Trent Massengale Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255774287 PECOS PAC ID: 3173762283 Enrollment ID: O20130621000422 |
Mailing Address | Practice Location Address |
---|---|
Dr William Trent Massengale, MD 5326 O'donovan Drive, Baton Rouge, LA 70808-9153 Ph: (225) 769-7546 | Dr William Trent Massengale, MD 5326 O'donovan Drive, Baton Rouge, LA 70808-9153 Ph: (225) 769-7546 |
Lauren Kathryn Petit, MD Dermatology Medicare: Medicare Enrolled Practice Location: 7373 Perkins Rd, Baton Rouge, LA 70808 Phone: 225-246-9790 Fax: 225-246-9160 | |
Tom J Meek Jr., MD Dermatology Medicare: Medicare Enrolled Practice Location: 5326 O'donovan Drive, Baton Rouge, LA 70808 Phone: 225-769-7546 Fax: 225-769-0471 | |
Jordan Lynn Whatley, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5326 Odonovan Dr, Baton Rouge, LA 70808 Phone: 225-769-7546 Fax: 225-769-0471 | |
Dr. Azeen Sadeghian, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8585 Picardy Ave Ste 512, Baton Rouge, LA 70809 Phone: 253-333-6142 | |
Dr. Harry A Burglass Jr., MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5326 O'donovan Drive, Baton Rouge, LA 70808 Phone: 225-769-7546 Fax: 225-769-0471 | |
Sarah Mcginty, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10154 Jefferson Hwy, Baton Rouge, LA 70809 Phone: 225-927-5663 Fax: 225-928-7341 | |
Courtney Murphy, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7373 Perkins Rd, Baton Rouge, LA 70808 Phone: 225-769-4044 |