| Massimo Morandi, MDFACS | |
|
1501 Kings Hwy, Shreveport, LA 71103-4228 | |
| (318) 675-7636 | |
| Not Available |
| Full Name | Massimo Morandi |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1501 Kings Hwy, Shreveport, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215005020 | NPI | - | NPPES |
| 4P921F600 | Other | LA | MEDICARE - PTAN |
| 2133276 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 204269 (Louisiana) | Primary |
| Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Massimo Morandi, MDFACS 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: (318) 675-7636 | Massimo Morandi, MDFACS 1501 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 675-7636 |
Dr. Robert Walter Rutz, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 337-529-6409 | |
Marjorie R Chelly, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Dr. Carlton Gregory Houtz, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Suite # 210, Shreveport, LA 71105 Phone: 318-798-4623 Fax: 318-798-4646 | |
Dr. Mario H Lobao Goncalves, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Christopher Wilson, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-4313 | |
Benjamin Marcus Feibel, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105 Phone: 318-798-4623 | |
John Marshall Haynie, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Line Ave, Suite 100, Shreveport, LA 71101 Phone: 318-635-3052 Fax: 318-635-3072 |