| Jason Rudd, MD | |
|
1200 Pinnacle Pkwy, Suite 3, Covington, LA 70433-9167 | |
| (985) 674-1700 | |
| (985) 674-1722 |
| Full Name | Jason Rudd |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 16 Years |
| Location | 1200 Pinnacle Pkwy, Covington, 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 |
|---|---|---|---|
| 1881821668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD.204827 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Louisiana Home Health, Llc | Hammond, LA | Home health agency |
| Our Lady Of The Angels Hospital | Bogalusa, LA | Hospital |
| Avala | Covington, LA | Hospital |
| St Tammany Parish Hospital | Covington, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Our Lady Of The Angels Hospital Inc | 7012144322 | 74 |
| Avala Physician Network Llc | 8527472422 | 9 |
| Entity Name | Paul Van Deventer, M.d., Apmc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902082175 PECOS PAC ID: 0345312963 Enrollment ID: O20080626000324 |
| 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 |
| Entity Name | Avala Physician Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922694710 PECOS PAC ID: 8527472422 Enrollment ID: O20210204002726 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Rudd, MD 1200 Pinnacle Pkwy, Suite 3, Covington, LA 70433-9167 Ph: (985) 674-1700 | Jason Rudd, MD 1200 Pinnacle Pkwy, Suite 3, Covington, LA 70433-9167 Ph: (985) 674-1700 |
Matti W Palo Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 70411 Highway 21, Covington, LA 70433 Phone: 985-400-5566 Fax: 985-400-5560 | |
Dr. Matthew L Webb, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 71211 Highway 21, Covington, LA 70433 Phone: 985-893-9922 | |
Dr. Jeremy R James, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 76 Starbrush Cir, Covington, LA 70433 Phone: 985-400-5778 Fax: 985-888-1042 | |
Daniel Sinclair, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 19343 Sunshine Ave, Covington, LA 70433 Phone: 985-892-5117 Fax: 985-892-5128 | |
Khader Samer-fayez Shamieh, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 76 Starbrush Cir, Covington, LA 70433 Phone: 844-800-3472 | |
Herbert R Plauche, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 19343 Sunshine Ave, Covington, LA 70433 Phone: 985-892-5117 Fax: 985-892-5128 | |
Joseph Bonvillain, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 19343 Sunshine Ave, Covington, LA 70433 Phone: 985-892-5117 Fax: 985-892-5128 |