| Michael Maddox, MD | |
|
200 W Esplanade Ave, Suite 210, Kenner, LA 70065-2489 | |
| (504) 464-8588 | |
| (504) 464-8586 |
| Full Name | Michael Maddox |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 18 Years |
| Location | 200 W Esplanade Ave, Kenner, 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 |
|---|---|---|---|
| 1356503833 | NPI | - | NPPES |
| 02158023 | Medicaid | MS | |
| 2339109 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD.205949 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ochsner Clinic Foundation | New orleans, LA | Hospital |
| Ochsner Medical Center-kenner | Kenner, LA | Hospital |
| Slidell Memorial Hospital | Slidell, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ochsner Clinic Llc | 8224933619 | 2538 |
| 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 | Administrators Of The Tulane Educational Fund |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528014164 PECOS PAC ID: 0446163760 Enrollment ID: O20031201000636 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Maddox, MD 1514 Jefferson Hwy, New Orleans, LA 70121-2483 Ph: (504) 842-4000 | Michael Maddox, MD 200 W Esplanade Ave, Suite 210, Kenner, LA 70065-2489 Ph: (504) 464-8588 |
Matthew Alan Nielsen, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 200 W Esplanade Ave, Kenner, LA 70065 Phone: 504-464-8588 Fax: 504-464-8586 | |
Grant Robert Pollock, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 200 W Esplanade Ave, Kenner, LA 70065 Phone: 504-468-8588 Fax: 504-842-7596 |