| Roland Ponarski, MD | |
|
2806 Mark Dr, Monroe, LA 71201-5152 | |
| (318) 460-5127 | |
| (318) 460-1967 |
| Full Name | Roland Ponarski |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2806 Mark Dr, Monroe, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104921741 | NPI | - | NPPES |
| 1967777 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 09892R (Louisiana) | Primary |
| 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 |
|---|---|
| Roland Ponarski, MD 1455 E Bert Kouns Industrial Loop, Shreveport, LA 71105-6000 Ph: (318) 798-4500 | Roland Ponarski, MD 2806 Mark Dr, Monroe, LA 71201-5152 Ph: (318) 460-5127 |
Dr. Janice L Ford, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1805 Jackson St, Monroe, LA 71202 Phone: 318-966-4000 Fax: 318-966-7364 | |
Arthur Eldridge Richert, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 Grammont St., Monroe, LA 71201 Phone: 318-325-2634 Fax: 318-812-1205 | |
Richard Van Vines Ii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 920 Oliver Road, Suite A, Monroe, LA 71201 Phone: 318-329-9202 Fax: 318-329-9202 | |
James Thomas Rittelmeyer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 N 18th St Ste 100, Monroe, LA 71201 Phone: 318-361-9900 Fax: 318-361-0428 | |
Dr. Charles Ujay Gbadouwey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-966-4541 Fax: 318-966-4543 | |
Kelvin C Wade, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Hall St Ste A, Monroe, LA 71201 Phone: 318-324-9113 Fax: 318-329-9382 | |
Dr. Nkeekam O Anumele, M.D., PHARM D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Wood St, Ste A, Monroe, LA 71201 Phone: 318-323-8847 Fax: 318-327-3410 |