Dr Eulogio E Tan, MD | |
639 Lotus Dr N, Suite B, Mandeville, LA 70471-2926 | |
(985) 626-6133 | |
(985) 626-6136 |
Full Name | Dr Eulogio E Tan |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 639 Lotus Dr 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 |
---|---|---|---|
1528164308 | NPI | - | NPPES |
1158224 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 03820R (Louisiana) | Primary |
Entity Name | Acadia-st. Landry Hospital Service District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518981968 PECOS PAC ID: 3476458092 Enrollment ID: O20031205000219 |
Entity Name | Correct Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20040816000150 |
Entity Name | Emergency Staffing Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20050610000177 |
Entity Name | Ess Hospitalist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20130515000072 |
Entity Name | Buxton Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845301 PECOS PAC ID: 8729321344 Enrollment ID: O20190523001057 |
Mailing Address | Practice Location Address |
---|---|
Dr Eulogio E Tan, MD 5737 Spruce St, Lake Charles, LA 70605-8124 Ph: (337) 304-0523 | Dr Eulogio E Tan, MD 639 Lotus Dr N, Suite B, Mandeville, LA 70471-2926 Ph: (985) 626-6133 |
Dr. Michael Christian Glassinger, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 639 Lotus Dr N, Suite B, Mandeville, LA 70471 Phone: 985-626-6133 Fax: 985-626-6136 | |
Dr. Suzanne Spencer Crater-craig, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2810 E. Causeway Approach, Mandeville, LA 70448 Phone: 985-875-2340 | |
Ahad Mussarat, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 Mulberry Ave, Mandeville, LA 70448 Phone: 985-351-3926 | |
Dr. Bruce Allen Groom, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 639 Lotus Drive N, Suite B, Mandeville, LA 70470 Phone: 985-626-6133 Fax: 985-626-6136 | |
Dr. Jere Michael Disney, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 639 Lotus Dr N, Suite B, Mandeville, LA 70471 Phone: 985-626-6133 Fax: 985-626-6136 | |
Dr. David Martin Lifshutz, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 639 Lotus Drive N, Suite B, Mandeville, LA 70470 Phone: 985-626-6133 Fax: 985-626-6136 |