| Travis Bruce Banta, MD | |
|
5000 Hennessy Blvd, Baton Rouge, LA 70808 | |
| (225) 757-0552 | |
| (225) 763-9997 |
| Full Name | Travis Bruce Banta |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 8 Years |
| Location | 5000 Hennessy Blvd, Baton Rouge, 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 |
|---|---|---|---|
| 1265964548 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
| Our Lady Of Lourdes Regional Medical Center, Inc | Lafayette, LA | Hospital |
| Christus Ochsner St Patrick Hospital | Lake charles, LA | Hospital |
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Lane Regional Medical Center | Zachary, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Llc | 8628041464 | 63 |
| Radiology Associates Llc | 8628041464 | 63 |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Emory Medical Care Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
| Entity Name | Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659347771 PECOS PAC ID: 8628041464 Enrollment ID: O20221103000176 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Bruce Banta, MD 8230 Summa Ave Ste C, Baton Rouge, LA 70809-3465 Ph: (225) 757-0552 | Travis Bruce Banta, MD 5000 Hennessy Blvd, Baton Rouge, LA 70808 Ph: (225) 757-0552 |
Richard W. Foster, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810 Phone: 225-769-2200 Fax: 225-768-2185 | |
Dr. Dane Gallmann Mackey, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 880 Sherwood Forest Blvd, Baton Rouge, LA 70815 Phone: 225-281-1100 | |
Heather L Haddad, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808 Phone: 225-757-0552 Fax: 225-763-9997 | |
Dr. Robert Reece Newsome Sr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7520 Perkins Rd, Baton Rouge, LA 70808 Phone: 225-769-6700 Fax: 225-768-7608 | |
Karl Matthew Nettles Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7520 Perkins Rd, Baton Rouge, LA 70808 Phone: 225-769-6700 Fax: 225-768-7608 | |
Scott Michael Kleinpeter, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808 Phone: 225-505-8108 | |
Chester Chattin Coles Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5937 Goodwood Ave, Baton Rouge, LA 70806 Phone: 225-928-8600 |