| Richard C Vanderbrook Jr, MD | |
|
1202 S Tyler St, Covington, LA 70433-2330 | |
| (985) 898-4000 | |
| Not Available |
| Full Name | Richard C Vanderbrook Jr |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 31 Years |
| Location | 1202 S Tyler St, Covington, 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 |
|---|---|---|---|
| 1992759039 | NPI | - | NPPES |
| 04407801 | Medicaid | MS | |
| 1698971 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD12282R (Louisiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 12282R (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Tammany Parish Hospital | Covington, LA | Hospital |
| Touro Infirmary | New orleans, LA | Hospital |
| Our Lady Of The Angels Hospital | Bogalusa, LA | Hospital |
| Lafayette General Medical Center | Lafayette, LA | Hospital |
| Jennings American Legion Hospital | Jennings, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regional Radiology, Llc | 2860404811 | 39 |
| Our Lady Of The Angels Hospital Inc | 7012144322 | 74 |
| 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 | Regional Radiology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336192863 PECOS PAC ID: 2860404811 Enrollment ID: O20060613000013 |
| Entity Name | Our Lady Of The Angels Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912334533 PECOS PAC ID: 7012144322 Enrollment ID: O20140602000869 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard C Vanderbrook Jr, MD 621 Hickory Ave, Harahan, LA 70123-3106 Ph: (504) 738-2434 | Richard C Vanderbrook Jr, MD 1202 S Tyler St, Covington, LA 70433-2330 Ph: (985) 898-4000 |
Dr. Kathryn Elizabeth Pflug, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433 Phone: 985-867-3800 | |
Daniel George Rupley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 67252 Industry Ln, Covington, LA 70433 Phone: 985-801-6216 | |
Allen J Lacour, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4000 Fax: 225-930-7524 | |
John J Eick, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Ochsner Blvd, Covington, LA 70433 Phone: 985-875-2828 | |
Dr. Dennis Kay, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Ochsner Blvd, Covington, LA 70433 Phone: 985-875-2828 | |
Jospeh A Perdigao, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4000 Fax: 225-930-7524 | |
Michael D Hall, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433 Phone: 985-867-4050 |