| Ryan Rougelot, | |
|
1202 S Tyler St, Covington, LA 70433-2330 | |
| (985) 898-4194 | |
| Not Available |
| Full Name | Ryan Rougelot |
|---|---|
| Gender | Male |
| Speciality | Family 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 |
|---|---|---|---|
| 1861069551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 340136 (Louisiana) | Primary |
| Entity Name | St Tammany Parish Hospital Service District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598798597 PECOS PAC ID: 0749273761 Enrollment ID: O20051102000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Rougelot, 1202 S Tyler St, Covington, LA 70433-2330 Ph: (985) 898-4194 | Ryan Rougelot, 1202 S Tyler St, Covington, LA 70433-2330 Ph: (985) 898-4194 |
James Shute, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4194 | |
Dr. Keyna Juri Whitney, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 73153 Military Rd, Covington, LA 70435 Phone: 985-626-6133 Fax: 985-626-6136 | |
Mary Fontenot Anderson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Christwood Blvd, Covington, LA 70433 Phone: 985-256-5690 | |
Dr. Joseph Leonard Singleton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 73153 Military Rd, Covington, LA 70435 Phone: 985-626-6133 Fax: 985-626-6136 | |
William Michael Ellerbe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Ochsner Blvd, Covington, LA 70433 Phone: 985-875-2828 | |
Dr. Rome Abdul Sherrod Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 73153 Military Rd, Covington, LA 70435 Phone: 985-626-6133 Fax: 985-626-6136 | |
Dr. Kasimu Senghor Moody, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 73153 Military Rd, Covington, LA 70435 Phone: 985-626-6133 Fax: 985-626-6136 |