Benjamin M Stage, MD | |
1136 Oliver Rd, Monroe, LA 71201-5714 | |
(318) 322-3250 | |
(318) 322-3260 |
Full Name | Benjamin M Stage |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 1136 Oliver Rd, Monroe, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366512428 | NPI | - | NPPES |
72-1396339 | Other | LA | TAX ID PEGASUS MEDICAL SERVICES, INC. |
721145487 | Other | LA | TAX ID NO. |
721304084 | Other | LA | TAX ID BAS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 012235 (Louisiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Benjamin M Stage, MD 1136 Oliver Rd, Monroe, LA 71201-5714 Ph: (318) 322-3250 | Benjamin M Stage, MD 1136 Oliver Rd, Monroe, LA 71201-5714 Ph: (318) 322-3250 |
Helena G Altick, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 2804 Kilpatrick Blvd, Monroe, LA 71201 Phone: 318-387-2545 | |
Dr. Theresa J Ross, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 112 Saint John St, Monroe, LA 71201 Phone: 318-387-5681 Fax: 318-322-9957 | |
Dr. Robert Mackinnon Raulerson, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 920 Oliver Rd, Monroe, LA 71201 Phone: 318-807-4951 Fax: 318-812-0808 |