| Rodrigo Martinez Monedero, MD/PHD | |
|
1541 Kings Hwy, Shreveport, LA 71103-4228 | |
| (318) 626-0000 | |
| Not Available |
| Full Name | Rodrigo Martinez Monedero |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 1541 Kings Hwy, Shreveport, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811342256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 334507 (Louisiana) | Secondary |
| 207Y00000X | Otolaryngology | 334507 (Louisiana) | Primary |
| Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Rodrigo Martinez Monedero, MD/PHD 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: (308) 626-0177 | Rodrigo Martinez Monedero, MD/PHD 1541 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 626-0000 |
William Harrel Watkins, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2121 Line Ave, Shreveport, LA 71104 Phone: 318-226-9441 Fax: 318-425-3236 | |
Amelia Kate Ramsey, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2121 Line Ave, Shreveport, LA 71104 Phone: 901-448-5885 | |
Michael T Yim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-6262 | |
Dr. Clifford H Rice Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4464 Fax: 318-798-4529 | |
Lindsey Alexander Pennington, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Otolaryngology, Shreveport, LA 71103 Phone: 318-813-2690 Fax: 318-813-2692 | |
Judd H Chidlow, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4569 Fax: 318-798-4423 | |
Ameya A. Asarkar, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Highway, Shreveport, LA 71130 Phone: 318-813-2690 Fax: 318-813-2692 |