Gertrude Gboloo, MD in Gonzales, LA - Medicare Family Practice

Gertrude Gboloo, MD is a medicare enrolled "Family Medicine" physician in Gonzales, Louisiana. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Our Lady Of The Lake Physician Group Llc and her current practice location is 2524 S Philippe Ave, Gonzales, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 644-1990.

Gertrude Gboloo is licensed to practice in Louisiana (license number MD202326) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740491208.

Contact Information

	Gertrude Gboloo, MD
	2524 S Philippe Ave, Gonzales, LA 70737-3749
	(225) 644-1990
	(225) 644-3264

Map and Direction

Physician's Profile

Full Name	Gertrude Gboloo
Gender	Female
Speciality	Family Practice
Experience	23 Years
Location	2524 S Philippe Ave, Gonzales, Louisiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gertrude Gboloo graduated from medical school in 2001

NPI Data:

NPI Number: 1740491208
Provider Enumeration Date: 05/25/2007
Last Update Date: 05/26/2022

Medicare PECOS Information:

PECOS PAC ID: 2062827074
Enrollment ID: I20210224000709

Medical Identifiers

Medical identifiers for Gertrude Gboloo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740491208	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD202326 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Our Lady Of The Lake Regional Medical Center	Baton rouge, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Our Lady Of The Lake Physician Group Llc	4587849781	521

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gertrude Gboloo allows following entities to bill medicare on her behalf.

Entity Name	Our Lady Of The Lake Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gertrude Gboloo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Gertrude Gboloo, MD 2524 S Philippe Ave, Gonzales, LA 70737-3749 Ph: (225) 644-1990	Gertrude Gboloo, MD 2524 S Philippe Ave, Gonzales, LA 70737-3749 Ph: (225) 644-1990

Reviews and Comments

Family Medicine Doctors in Gonzales, LA

John F. Fraiche, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd Ste 100, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-644-5415
Robert P. St. Amant, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2647 S Saint Elizabeth Blvd Ste 311, Gonzales, LA 70737 Phone: 225-743-2833 Fax: 225-743-2074
Shawn Hall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd Ste 100, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-644-5415
Dr. Ericka Theresa Flood, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 S Burnside Ave, Gonzales, LA 70737 Phone: 225-761-5211 Fax: 225-761-5266
Dr. Michael Shane Bodin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd Ste 219, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-743-2620
Richard J. Caro, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2304 S. Burnside Ave., Ste 2, Gonzales, LA 70737 Phone: 225-647-6533 Fax: 225-644-7533
Jeffrey Delaune, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12320-1 La Hwy. 44, Gonzales, LA 70737 Phone: 225-647-5767 Fax: 225-647-4761

Gertrude Gboloo, MD - Medicare Family Practice in Gonzales, LA