| Raghotham Reddy Patlola, MD | |
|
4811 Ambassador Caffery Parkway, Suite 401a, Lafayette, LA 70508 | |
| (337) 456-6523 | |
| (337) 456-6521 |
| Full Name | Raghotham Reddy Patlola |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 32 Years |
| Location | 4811 Ambassador Caffery Parkway, Lafayette, 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 |
|---|---|---|---|
| 1821095860 | NPI | - | NPPES |
| 1349844 | Medicaid | LA | |
| P00158213 | Other | LA | RR MEDICARE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oakdale Community Hospital | Oakdale, LA | Hospital |
| Mercy Regional Medical Center | Ville platte, LA | Hospital |
| Our Lady Of Lourdes Regional Medical Center, Inc | Lafayette, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clhg-oakdale Llc | 1355623943 | 38 |
| Louisiana Cardiovascular Associates, Llc | 3173908878 | 3 |
| Clhg-oakdale Llc | 1355623943 | 38 |
| Clhg-ville Platte Llc | 4486903309 | 45 |
| Entity Name | Mercy Physician Practices, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598885832 PECOS PAC ID: 7214036011 Enrollment ID: O20070620000033 |
| Entity Name | Louisiana Cardiovascular And Limb Salvage Center, Apmc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689825499 PECOS PAC ID: 8123181906 Enrollment ID: O20090106000605 |
| Entity Name | Lafayette General Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649408832 PECOS PAC ID: 4688581457 Enrollment ID: O20100301000064 |
| Entity Name | Hawkeye Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952630360 PECOS PAC ID: 9032254685 Enrollment ID: O20100306000295 |
| Entity Name | Lafayette Cardiovascular Center Of Excellence,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720423478 PECOS PAC ID: 9931330370 Enrollment ID: O20140327000945 |
| Entity Name | Clhg-avoyelles Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639618853 PECOS PAC ID: 8921380528 Enrollment ID: O20180828001494 |
| Entity Name | Clhg-oakdale Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063111920 PECOS PAC ID: 1355623943 Enrollment ID: O20181116002285 |
| Entity Name | Clhg-ville Platte Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285811927 PECOS PAC ID: 4486903309 Enrollment ID: O20200401000467 |
| Entity Name | Louisiana Cardiovascular Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730823709 PECOS PAC ID: 3173908878 Enrollment ID: O20220916000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Raghotham Reddy Patlola, MD Po Box 70, Milton, LA 70558 Ph: (337) 456-6523 | Raghotham Reddy Patlola, MD 4811 Ambassador Caffery Parkway, Suite 401a, Lafayette, LA 70508 Ph: (337) 456-6523 |
Leigh Victoria Deshotels, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4809 Ambassador Caffery Pkwy Ste 230, Lafayette, LA 70508 Phone: 337-470-2739 Fax: 337-470-6495 | |
Dr. Maximo Bienvenido Lamarche, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 W Saint Mary Blvd, Lafayette, LA 70506 Phone: 337-233-6593 Fax: 337-235-1032 | |
Dr. John M Rainey, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 501 W Saint Mary Blvd, Lafayette, LA 70506 Phone: 337-235-7898 Fax: 337-235-7445 | |
Cassie Clark, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6000 | |
Dr. Corwin Ashford Thomas, D.O. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 802 E Farrel Rd, Lafayette, LA 70508 Phone: 337-234-3163 Fax: 337-234-3168 | |
Dr. Matthew Shane Fontenot, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7927 Fax: 337-289-7935 | |
Dr. John Brent Rhodes Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 439 Heymann Blvd, Lafayette, LA 70503 Phone: 337-269-0963 Fax: 337-269-0553 |