Dr Earle Ward Sudderth,jr, MD is a
General Practice physician based in Gretna, Louisiana. Dr Earle Ward Sudderth,jr is licensed to practice in Louisiana (license number 009381) and his current practice location is 920 Huey P Long Ave, Gretna, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(504) 421-9654.
NPI number for Dr Earle Ward Sudderth,jr is 1689812463 and his current mailing address is 920 Huey P Long Ave, Gretna, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689812463.
Physician's Profile
Full Name | Dr Earle Ward Sudderth,jr |
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Gender | Male |
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Speciality | General Practice |
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Location | 920 Huey P Long Ave, Gretna, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689812463
- Provider Enumeration Date: 02/01/2009
- Last Update Date: 02/01/2009
Medical Identifiers
Medical identifiers for Dr Earle Ward Sudderth,jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689812463 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 009381 (Louisiana) | Primary |
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. Dr Earle Ward Sudderth,jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Earle Ward Sudderth,jr, MD 920 Huey P Long Ave, Gretna, LA 70053-6214 Ph: (504) 421-9654 | Dr Earle Ward Sudderth,jr, MD 920 Huey P Long Ave, Gretna, LA 70053-6214 Ph: (504) 421-9654 |
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