| Mr Matthew Bruhn, PA | |
|
15813 Paul Vega Md Dr Ste 100, Hammond, LA 70403-1431 | |
| (985) 230-2663 | |
| (985) 230-2665 |
| Full Name | Mr Matthew Bruhn |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 15813 Paul Vega Md Dr Ste 100, Hammond, 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 |
|---|---|---|---|
| 1669070769 | NPI | - | NPPES |
| 2541668 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 324782 (Louisiana) | Primary |
| 363A00000X | Physician Assistant | 1179318 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Oaks Medical Center, L L C | Hammond, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Oaks Medical Center Llc | 2466629522 | 317 |
| Entity Name | S. Tahseen Rab MD Apllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356307862 PECOS PAC ID: 8628098522 Enrollment ID: O20051206000585 |
| Entity Name | North Oaks Medical Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972630705 PECOS PAC ID: 2466629522 Enrollment ID: O20120117000359 |
| Entity Name | North Oaks Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427035211 PECOS PAC ID: 9133378870 Enrollment ID: O20121012000490 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew Bruhn, PA Po Box 3087, Hammond, LA 70404-3087 Ph: (985) 230-3668 | Mr Matthew Bruhn, PA 15813 Paul Vega Md Dr Ste 100, Hammond, LA 70403-1431 Ph: (985) 230-2663 |
Miss Andrea Maria Legendre, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15813 Paul Vega Md Dr Ste 100, Hammond, LA 70403 Phone: 985-230-2663 |
Olivia Buquoi, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15813 Paul Vega Md Dr # 403, Hammond, LA 70403 Phone: 985-230-7350 |
Ashley Hotard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-345-2700 |
Melinda Flocke Bonner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 42205 Veterans Ave, Hammond, LA 70403 Phone: 985-375-9979 |
Rachael Mclaughlin Rolling, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 41676 Veterans Ave, Hammond, LA 70403 Phone: 985-543-3600 |
Andrew Bragagnini, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16014 Doctors Blvd, Hammond, LA 70403 Phone: 985-340-7868 Fax: 985-340-7866 |
Mr. Jeremy Lawrence Russell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-345-2700 Fax: 985-230-6653 |