Braden Wenter Mcintosh, MD | |
8300 Constantin Blvd, Baton Rouge, LA 70809-3489 | |
(225) 374-1410 | |
(225) 374-1616 |
Full Name | Braden Wenter Mcintosh |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 8300 Constantin Blvd, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427477173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 305506 (Louisiana) | Primary |
Entity Name | Professional Emergency Physician Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992758247 PECOS PAC ID: 1759317092 Enrollment ID: O20050708000778 |
Entity Name | Our Lady Of The Lake Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
Entity Name | Professional Emergency Medicine Management -- Lake Charles Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023430766 PECOS PAC ID: 7012131378 Enrollment ID: O20140609000077 |
Mailing Address | Practice Location Address |
---|---|
Braden Wenter Mcintosh, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 526-0011 | Braden Wenter Mcintosh, MD 8300 Constantin Blvd, Baton Rouge, LA 70809-3489 Ph: (225) 374-1410 |
Dr. Wame Nicholas Waggenspack Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810 Phone: 225-924-2424 Fax: 225-408-7984 | |
Terence James Alost, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7777 Hennessy Blvd, Suite 211, Baton Rouge, LA 70808 Phone: 225-765-7163 | |
Tiffany Le'shann Dugas, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 5246 Brittany Dr, Baton Rouge, LA 70808 Phone: 225-387-7736 | |
Timothy Brandon Davidson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3317 Grand Way Ave, Baton Rouge, LA 70810 Phone: 225-400-3542 | |
Alyssa Victoria Gonzales, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5246 Brittany Dr, Baton Rouge, LA 70808 Phone: 225-757-4142 | |
Dr. Timothy A Girard, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3600 Florida Blvd, Baton Rouge, LA 70806 Phone: 225-387-7053 | |
Pamela Payment, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3600 Florida Blvd, Baton Rouge, LA 70806 Phone: 225-387-7053 |