David Kwame Tawiah Gboloo, MD in Gonzales, LA

David Kwame Tawiah Gboloo, MD is a medicare enrolled "Internal Medicine" physician in Gonzales, Louisiana. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Our Lady Of The Lake Physician Group Llc and his current practice location is 2524 South Philippe Ave, Gonzales, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 644-1990.

David Kwame Tawiah Gboloo is licensed to practice in Louisiana (license number 13365R) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528163326.

Contact Information

	David Kwame Tawiah Gboloo, MD
	2524 South Philippe Ave, Gonzales, LA 70737
	(225) 644-1990
	(225) 644-3264

Map and Direction

Physician's Profile

Full Name	David Kwame Tawiah Gboloo
Gender	Male
Speciality	Emergency Medicine
Experience	31 Years
Location	2524 South Philippe Ave, Gonzales, 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.

Medical Education and Training:

David Kwame Tawiah Gboloo graduated from medical school in 1993

NPI Data:

NPI Number: 1528163326
Provider Enumeration Date: 09/14/2006
Last Update Date: 05/26/2022

Medicare PECOS Information:

PECOS PAC ID: 2365414299
Enrollment ID: I20040810001473

Medical Identifiers

Medical identifiers for David Kwame Tawiah Gboloo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528163326	NPI	-	NPPES
1562262	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	13365R (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Our Lady Of The Lake Regional Medical Center	Baton rouge, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Our Lady Of The Lake Physician Group Llc	4587849781	521

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David Kwame Tawiah Gboloo allows following entities to bill medicare on his behalf.

Entity Name	Our Lady Of The Lake Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Kwame Tawiah Gboloo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
David Kwame Tawiah Gboloo, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 765-5727	David Kwame Tawiah Gboloo, MD 2524 South Philippe Ave, Gonzales, LA 70737 Ph: (225) 644-1990

Reviews and Comments

Internal Medicine Doctors in Gonzales, LA

Mydhili Kanumilli, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-5213
Niksad Abraham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd Ste 300, Gonzales, LA 70737 Phone: 225-767-3900 Fax: 225-766-2226
Swapna Gayathri Kallu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd Ste 219, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-743-2620
Mason Wade Rau, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2647 S Saint Elizabeth Blvd Ste 219, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-8358
Dr. Gretchen Marie Yandle, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-5213
Dr. Rahil Devendra Shah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1014 Saint Clair Blvd Ste 3030, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-743-2546
Dr. Carlos R Vazquez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 S Burnside Ave, Ste 4, Gonzales, LA 70737 Phone: 225-647-1947

David Kwame Tawiah Gboloo, MD - Medicare Emergency Medicine in Gonzales, LA