Brant P Domangue, MD | |
100 Medical Center Dr, Slidell, LA 70461-5520 | |
(985) 646-5189 | |
Not Available |
Full Name | Brant P Domangue |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 9 Years |
Location | 100 Medical Center Dr, Slidell, 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 |
---|---|---|---|
1225419211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | LL38466 (South Carolina) | Secondary |
207P00000X | Emergency Medicine | 310574 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Slidell Memorial Hospital | Slidell, LA | Hospital |
Ochsner Clinic Foundation | New orleans, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vincent Emergency Group, Llc | 0840621926 | 44 |
Belle Chasse Emergency Group Llc | 7113140070 | 75 |
Entity Name | Ochsner Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Entity Name | Kenner Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013986546 PECOS PAC ID: 8426011230 Enrollment ID: O20041111000475 |
Entity Name | Slidell Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295158418 PECOS PAC ID: 1254562663 Enrollment ID: O20140328000931 |
Entity Name | Belle Chasse Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851714075 PECOS PAC ID: 7113140070 Enrollment ID: O20140521001580 |
Entity Name | Luling Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528446101 PECOS PAC ID: 8325352636 Enrollment ID: O20150730013151 |
Entity Name | Vincent Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740816917 PECOS PAC ID: 0840621926 Enrollment ID: O20200505000479 |
Entity Name | Raceland Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023604352 PECOS PAC ID: 4082028261 Enrollment ID: O20210129000530 |
Mailing Address | Practice Location Address |
---|---|
Brant P Domangue, MD 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-4000 | Brant P Domangue, MD 100 Medical Center Dr, Slidell, LA 70461-5520 Ph: (985) 646-5189 |
Dr. Archie C Tatford, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-649-8542 | |
Shaun Xiao, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 Robert Blvd, Slidell, LA 70458 Phone: 985-639-3777 Fax: 985-639-3708 | |
Wade Joseph Estopinal, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 985 Robert Blvd, Suite 101, Slidell, LA 70458 Phone: 985-690-8300 Fax: 985-690-8301 | |
Dr. Ernest Charles Hansen Iii, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Drive, Slidell, LA 70461 Phone: 985-646-5189 | |
Dr. Matthew Brian Rivenburgh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Drive, Slidell, LA 70461 Phone: 985-646-5189 | |
Dr. Wayne Michael Berkowitz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Slidell, LA 70461 Phone: 985-646-5189 |