Dr Heather Rae Bronaugh, MD | |
1051 Gause Blvd Ste 410, Slidell, LA 70458-2995 | |
(985) 280-9002 | |
(985) 781-0200 |
Full Name | Dr Heather Rae Bronaugh |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 1051 Gause Blvd Ste 410, Slidell, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144211632 | NPI | - | NPPES |
P00336861 | Other | LA | RAILROAD MEDICARE |
1801020433 | Other | LA | NPI SMH PHYSICIAN NETWORK |
1420271 | Medicaid | LA | |
5CR31 | Other | LA | MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 025950 (Louisiana) | Primary |
Entity Name | Ochsner Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Mailing Address | Practice Location Address |
---|---|
Dr Heather Rae Bronaugh, MD 1051 Gause Blvd Ste 410, Slidell, LA 70458-2995 Ph: (985) 280-9002 | Dr Heather Rae Bronaugh, MD 1051 Gause Blvd Ste 410, Slidell, LA 70458-2995 Ph: (985) 280-9002 |
Francis J Petitto Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1051 Gause Blvd Ste 410, Slidell, LA 70458 Phone: 985-280-9002 Fax: 985-781-0200 | |
Richard Thomas Leblanc Jr., M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 2750 East Gause Blvd., Slidell, LA 70461 Phone: 985-639-3777 Fax: 985-646-4448 | |
Diana L Gillmore, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 985 Robert Blvd, #103, Slidell, LA 70458 Phone: 985-646-1884 Fax: 985-646-1885 | |
Paul Russell Hastings I, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1108 Crystal Ct, Slidell, LA 70461 Phone: 985-781-0015 | |
Robert V Shafor, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1051 Gause Blvd Ste 410, Slidell, LA 70458 Phone: 985-280-9002 Fax: 985-781-0200 | |
David Baruch Kaplan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2050 Gause Blvd E Ste 250, Slidell, LA 70461 Phone: 985-646-4444 Fax: 985-646-4448 |