| Mr Edward Hampton Rutland, MD | |
|
102 Thomas Road, Suite 111, West Monroe, LA 71291 | |
| (318) 329-8517 | |
| (318) 329-8518 |
| Full Name | Mr Edward Hampton Rutland |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 17 Years |
| Location | 102 Thomas Road, West Monroe, 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 |
|---|---|---|---|
| 1124051248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 19100 (Mississippi) | Secondary |
| 208800000X | Urology | MD.204640 (Louisiana) | Primary |
| 208800000X | Urology | ME104163 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Ochsner Lake Area Hospital | Lake charles, LA | Hospital |
| Christus Ochsner St Patrick Hospital | Lake charles, LA | Hospital |
| Jennings American Legion Hospital | Jennings, LA | Hospital |
| West Calcasieu Cameron Hospital | Sulphur, 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 | Physician Group Of Louisiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316188998 PECOS PAC ID: 8921147067 Enrollment ID: O20091202000287 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edward Hampton Rutland, MD 102 Thomas Road, Suite 111, West Monroe, LA 71291 Ph: (318) 329-8517 | Mr Edward Hampton Rutland, MD 102 Thomas Road, Suite 111, West Monroe, LA 71291 Ph: (318) 329-8517 |
Dr. Edwin Otis Edgerton Iii, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 129 Elmwood Dr, West Monroe, LA 71291 Phone: 318-396-6725 Fax: 318-396-6725 | |
Dr. Robert Daryl Marx, M.D. Urology Medicare: Medicare Enrolled Practice Location: 102 Thomas Rd, Suite 108, West Monroe, LA 71291 Phone: 318-329-8464 Fax: 318-329-8467 |