Alfonso Aquino, MD | |
1701 Old Minden Rd Ste 20, Bossier City, LA 71111-4846 | |
(870) 897-5333 | |
Not Available |
Full Name | Alfonso Aquino |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 48 Years |
Location | 1701 Old Minden Rd Ste 20, Bossier City, 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 |
---|---|---|---|
1063479681 | NPI | - | NPPES |
102477001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | R-3293 (Arkansas) | Secondary |
207L00000X | Anesthesiology | 324753 (Louisiana) | Secondary |
207L00000X | Anesthesiology | G2308 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Specialists Hospital Shreveport | Shreveport, LA | Hospital |
Ochsner Lsu Health Shreveport-st Mary Medical Cent | Shreveport, LA | Hospital |
Ochsner Lsu Health Shreveport | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lsu Health Sciences Center Shreveport Faculty Group Practice | 4082902721 | 534 |
Novus Louisiana Medical Professional Corporation | 5395194880 | 23 |
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 |
Entity Name | Novus Louisiana Medical Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336926872 PECOS PAC ID: 5395194880 Enrollment ID: O20231208002673 |
Mailing Address | Practice Location Address |
---|---|
Alfonso Aquino, MD Po Box 6228, Texarkana, TX 75505-6228 Ph: (903) 735-9802 | Alfonso Aquino, MD 1701 Old Minden Rd Ste 20, Bossier City, LA 71111-4846 Ph: (870) 897-5333 |
Dr. John G Noles, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr Ste 300, Bossier City, LA 71111 Phone: 318-212-3636 Fax: 318-212-3649 | |
David Elkind Hirsch, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr, Suite 300, Bossier City, LA 71111 Phone: 318-212-7960 Fax: 318-212-7965 |