| Gary Michael Agena, MD | |
|
393 Highway 21, Suite 525, Madisonville, LA 70447-3407 | |
| (985) 845-7121 | |
| (985) 206-9476 |
| Full Name | Gary Michael Agena |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 21 Years |
| Location | 393 Highway 21, Madisonville, Louisiana |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295768406 | NPI | - | NPPES |
| 1504050 | Medicaid | LA | |
| ME175399 | Other | FL | FLORIDABOARDOFMEDICINE |
| 200946 | Other | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | ME175399 (Florida) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD200946 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Tammany Parish Hospital | Covington, LA | Hospital |
| North Oaks Medical Center, L L C | Hammond, LA | Hospital |
| Entity Name | Gary M Agena Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699021410 PECOS PAC ID: 3870742703 Enrollment ID: O20121009000268 |
| Entity Name | Our Lady Of The Angels Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912334533 PECOS PAC ID: 7012144322 Enrollment ID: O20140602000869 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Michael Agena, MD 393 Highway 21, Suite 525, Madisonville, LA 70447-3407 Ph: (985) 845-7121 | Gary Michael Agena, MD 393 Highway 21, Suite 525, Madisonville, LA 70447-3407 Ph: (985) 845-7121 |
Dr. Paul G Fuselier, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 216 Highway 21, Madisonville, LA 70447 Phone: 985-845-1825 Fax: 985-845-1823 | |
Dr. Oscar M Mendez, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 393 Highway 21, Suite 500-a, Madisonville, LA 70447 Phone: 985-845-3564 Fax: 985-845-3705 | |
Dr. Frank Jack George, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 129 Rue Les Bois, Madisonville, LA 70447 Phone: 985-792-1151 |