| Hernan Antonio Bazan, MD | |
|
1514 Jefferson Highway, 8th Floor-clinic, New Orleans, LA 07012 | |
| (504) 842-4053 | |
| (504) 842-5017 |
| Full Name | Hernan Antonio Bazan |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 25 Years |
| Location | 1514 Jefferson Highway, New Orleans, 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 |
|---|---|---|---|
| 1073714358 | NPI | - | NPPES |
| 044485 | Other | CT | LICENSE |
| 01078003 | Medicaid | MS | |
| 1014630 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 044485 (Connecticut) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 201525 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ochsner Clinic Foundation | New orleans, LA | Hospital |
| Leonard J Chabert Medical Center | Houma, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ochsner Clinic Llc | 8224933619 | 2538 |
| South Louisiana Medical Associates | 8527968650 | 108 |
| Entity Name | Ochsner Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Entity Name | South Louisiana Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942301379 PECOS PAC ID: 8527968650 Enrollment ID: O20040113000589 |
| Mailing Address | Practice Location Address |
|---|---|
| Hernan Antonio Bazan, MD 1514 Jefferson Highway, 8th Floor-clinic, New Orleans, LA 70121 Ph: (504) 842-4053 | Hernan Antonio Bazan, MD 1514 Jefferson Highway, 8th Floor-clinic, New Orleans, LA 07012 Ph: (504) 842-4053 |
Danielle M Pickham, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3000 | |
Dr. Carlos Galvani, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1415 Tulane Ave, New Orleans, LA 70112 Phone: 504-988-6855 | |
David S Bruce, M. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Highway, New Orleans, LA 70121 Phone: 504-842-4000 | |
Jenny My Ngo, MD Surgery Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy # Bh-331, New Orleans, LA 70121 Phone: 228-424-6566 | |
Dr. Robert M. Arensman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-4000 | |
Kiara Tulla, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1430 Tulane Ave # 8622, New Orleans, LA 70112 Phone: 504-988-2306 |