Dr Bonadelvert C Suarez, MD | |
42421 Pelican Professional Park, Hammond, LA 70403-2405 | |
(985) 542-1317 | |
(985) 542-1958 |
Full Name | Dr Bonadelvert C Suarez |
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Gender | Male |
Speciality | Urology - Pediatric Urology |
Location | 42421 Pelican Professional Park, Hammond, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871597443 | NPI | - | NPPES |
1313033 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD.04720R (Louisiana) | Secondary |
2088P0231X | Urology - Pediatric Urology | MD04720R (Louisiana) | Primary |
Entity Name | Medical Arts Adult And Pediatric Urology, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841325206 PECOS PAC ID: 8022039965 Enrollment ID: O20051207000787 |
Mailing Address | Practice Location Address |
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Dr Bonadelvert C Suarez, MD 42421 Pelican Professional Park, Hammond, LA 70403-2405 Ph: (985) 542-1317 | Dr Bonadelvert C Suarez, MD 42421 Pelican Professional Park, Hammond, LA 70403-2405 Ph: (985) 542-1317 |
Dr. Robert B Kidd, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 15770 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-542-1226 Fax: 985-542-2887 | |
Jay W Heintz, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 42439 Pelican Professional Park, Hammond, LA 70403 Phone: 985-542-1226 Fax: 985-542-2887 | |
Jason Chiang, Urology Medicare: Accepting Medicare Assignments Practice Location: 42439 Pelican Professional Park, Hammond, LA 70403 Phone: 985-542-1226 | |
Dr. Stephen M Graham, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 15813 Paul Vega Md Dr, Suite 201-a, Hammond, LA 70403 Phone: 985-230-7860 Fax: 985-230-7861 | |
Dr. R. Vincent Kidd Iii, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2101 Robin Ave, Ste 1, Hammond, LA 70403 Phone: 985-542-7766 Fax: 985-542-1754 | |
Dr. Brad M Lake, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 15770 Paul Vega Md Dr Ste 204, Hammond, LA 70403 Phone: 985-230-7860 Fax: 985-230-7861 |