| Reynaldo S Dela Rosa, MD | |
|
1202 S Tyler St, Covington, LA 70433-2330 | |
| (985) 898-4000 | |
| Not Available |
| Full Name | Reynaldo S Dela Rosa |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Critical Care Medicine |
| Location | 1202 S Tyler St, Covington, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447369558 | NPI | - | NPPES |
| 207482605 | Medicaid | MO | |
| 2869472 | Medicaid | OH | |
| 302I816792 | Other | MS | MEDICARE PTAN |
| 200529540 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 01060859 (Indiana) | Secondary |
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 202653 (Louisiana) | Primary |
| Entity Name | Lourdes Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437405883 PECOS PAC ID: 7214177757 Enrollment ID: O20130705000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Reynaldo S Dela Rosa, MD 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 703-8433 | Reynaldo S Dela Rosa, MD 1202 S Tyler St, Covington, LA 70433-2330 Ph: (985) 898-4000 |
Dr. Daniel R Bronfin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Ochsner Blvd, Covington, LA 70433 Phone: 985-875-2828 | |
John Eglin Williams, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 71107 Highway 21, Suite 1, Covington, LA 70433 Phone: 985-893-2580 | |
Alma Rivera-levy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 95 E Fairway Dr, Covington, LA 70433 Phone: 985-867-3800 | |
Merrill James Laurent, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4000 | |
Dr. Susan F Ovella, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 728 W 11th Ave, Covington, LA 70433 Phone: 225-765-5777 Fax: 225-765-6642 | |
Sherri Bagent Casey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 71107 Highway 21, Suite 1, Covington, LA 70433 Phone: 985-893-2580 Fax: 985-871-9418 | |
Dr. William Brian Britton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7020 Highway 190, Suite C, Covington, LA 70433 Phone: 985-871-7337 Fax: 985-871-7600 |