Dr Bruce Allen Groom, MD | |
639 Lotus Drive N, Suite B, Mandeville, LA 70470 | |
(985) 626-6133 | |
(985) 626-6136 |
Full Name | Dr Bruce Allen Groom |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 639 Lotus Drive N, Mandeville, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639270382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | R4295 (Arkansas) | Primary |
207Q00000X | Family Medicine | R4295 (Arkansas) | Primary |
Entity Name | Izard County Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1881635993 PECOS PAC ID: 9739459215 Enrollment ID: O20180918002623 |
Mailing Address | Practice Location Address |
---|---|
Dr Bruce Allen Groom, MD 3908 Batesville Pike, Sherwood, AR 72120 Ph: (501) 529-5045 | Dr Bruce Allen Groom, MD 639 Lotus Drive N, Suite B, Mandeville, LA 70470 Ph: (985) 626-6133 |
Dr. Candice Leduff Knight, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2190 N Causeway Blvd, Suite 150, Mandeville, LA 70471 Phone: 985-624-3468 Fax: 985-624-3969 | |
Maria Dolores Roberts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Saint Ann Dr Ste B, Mandeville, LA 70471 Phone: 985-898-4001 Fax: 985-626-9618 | |
Kaitlin Crane Massey, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 201 Saint Ann Dr, Mandeville, LA 70471 Phone: 985-898-4001 | |
Dr. Timothy L Riddell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2810 E Causeway Approach, Mandeville, LA 70448 Phone: 985-875-2340 | |
Dr. Robert P Guilbault Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 521 Asbury Drive, Mandeville, LA 70471 Phone: 985-630-9618 Fax: 985-231-7010 | |
Marissa Moore, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 201 Saint Ann Dr Ste B, Mandeville, LA 70471 Phone: 985-898-4001 | |
Gabrielle Givens, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Saint Ann Dr Ste B, Mandeville, LA 70471 Phone: 985-626-1717 |