| Jason Booth Madatic, MD | |
|
1001 Gause Blvd, Slidell, LA 70458-2939 | |
| (985) 649-8542 | |
| Not Available |
| Full Name | Jason Booth Madatic |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1001 Gause Blvd, Slidell, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477528602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 024943 (Louisiana) | Primary |
| Entity Name | Red Stick Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275705998 PECOS PAC ID: 2062583578 Enrollment ID: O20080611000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Booth Madatic, MD 12313 Parkridge Ave, Baton Rouge, LA 70816-4726 Ph: (504) 621-7689 | Jason Booth Madatic, MD 1001 Gause Blvd, Slidell, LA 70458-2939 Ph: (985) 649-8542 |
Dr. Archie C Tatford, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-649-8542 | |
Shaun Xiao, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 Robert Blvd, Slidell, LA 70458 Phone: 985-639-3777 Fax: 985-639-3708 | |
Wade Joseph Estopinal, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 985 Robert Blvd, Suite 101, Slidell, LA 70458 Phone: 985-690-8300 Fax: 985-690-8301 | |
Dr. Ernest Charles Hansen Iii, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Drive, Slidell, LA 70461 Phone: 985-646-5189 | |
Dr. Matthew Brian Rivenburgh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Drive, Slidell, LA 70461 Phone: 985-646-5189 | |
Dr. Wayne Michael Berkowitz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Medical Center Dr, Slidell, LA 70461 Phone: 985-646-5189 | |
Brant P Domangue, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Slidell, LA 70461 Phone: 985-646-5189 |