| Dr Koteswara R Pothineni, MD | |
|
7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | |
| (225) 767-3900 | |
| (225) 766-2226 |
| Full Name | Dr Koteswara R Pothineni |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 26 Years |
| Location | 7777 Hennessy Blvd Ste 1000, Baton Rouge, 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 |
|---|---|---|---|
| 1093903726 | NPI | - | NPPES |
| 2107364 | Medicaid | LA | |
| 08154048 | Medicaid | MS | |
| 351459YUST | Other | LA | MEDICARE PTAN |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
| Baton Rouge General Medical Center | Baton rouge, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Our Lady Of The Lake Physician Group Llc | 4587849781 | 579 |
| Baton Rouge General Physicians Inc | 5193623643 | 140 |
| 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 | 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 |
| Entity Name | Baton Rouge General Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609134766 PECOS PAC ID: 5193623643 Enrollment ID: O20120621000448 |
| Entity Name | Our Lady Of The Lake Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Intensive Cardiac Rehabilitation |
| Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20230716000129 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Koteswara R Pothineni, MD 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-4431 | Dr Koteswara R Pothineni, MD 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 Ph: (225) 767-3900 |
Dr. Jennifer L Rippon, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd Ste 409, Baton Rouge, LA 70808 Phone: 225-765-5864 Fax: 225-765-2013 | |
Gregory Fusilier, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 9103 Jefferson Hwy, Baton Rouge, LA 70809 Phone: 225-927-1190 Fax: 225-927-0988 | |
Dr. Yolanda Maria O'rourke, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7968 Essen Park, Baton Rouge, LA 70809 Phone: 225-761-6700 Fax: 225-761-6760 | |
Patricia D. Whatley, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7373 Perkins Rd, Attn: Dee / Administration, Baton Rouge, LA 70808 Phone: 225-769-4044 | |
Frederick Cerise, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3810 W Lakeshore Dr, Baton Rouge, LA 70808 Phone: 225-578-8886 | |
Nicholas Kyle Baldwin, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9103 Jefferson Hwy, Baton Rouge, LA 70809 Phone: 225-927-1190 | |
Dr. Jon Richard Jackson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808 Phone: 225-765-4050 Fax: 225-765-4046 |