| Gary Michael Mall, MD | |
|
15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | |
| (985) 230-1362 | |
| (985) 230-1617 |
| Full Name | Gary Michael Mall |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 38 Years |
| Location | 15790 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 |
|---|---|---|---|
| 1568491330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD.019924 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Oaks Medical Center, L L C | Hammond, LA | Hospital |
| Hardtner Medical Center | Olla, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lasalle Parish Hospital Service Dist No1 | 6709781545 | 22 |
| North Oaks Medical Center Llc | 2466629522 | 317 |
| Entity Name | Lasalle Parish Hospital Service Dist No1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184815466 PECOS PAC ID: 6709781545 Enrollment ID: O20040408000438 |
| Entity Name | Lasalle Parish Hospital Service Dist No1 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1639263189 PECOS PAC ID: 6709781545 Enrollment ID: O20110114000363 |
| Entity Name | North Oaks Medical Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972630705 PECOS PAC ID: 2466629522 Enrollment ID: O20120117000359 |
| Entity Name | Island Medical Winnsboro LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538515135 PECOS PAC ID: 4385937457 Enrollment ID: O20160727000543 |
| Entity Name | North Oaks Medical Center LLC |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1871302703 PECOS PAC ID: 2466629522 Enrollment ID: O20250514003209 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Michael Mall, MD Po Box 2668, Hammond, LA 70404-2668 Ph: (985) 230-1332 | Gary Michael Mall, MD 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 Ph: (985) 230-1362 |
Dr. Mark Evans Haile, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-230-1332 Fax: 985-230-1334 |
Dr. Matthew Thomas Bernard, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-345-2700 Fax: 985-230-2072 |
Dr. Thomas Alfred Reinecke, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 15790 Paul Vega Md Dr, Revenue Management Department, Hammond, LA 70403 Phone: 985-230-1682 Fax: 985-230-1617 |
Rachel Elizabeth Shard, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-230-1300 |
Elizabeth Clair, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-345-2700 |
James Wilkinson, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-345-2700 Fax: 985-230-6480 |
Richard Wayne Foster, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1900 S Morrison Blvd, Hammond, LA 70403 Phone: 985-230-5726 Fax: 985-230-5683 |