Dr Michael Shane Bodin, MD - Medicare Family Practice in Gonzales, LA

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Dr Michael Shane Bodin, MD is a medicare enrolled "Family Medicine" physician in Gonzales, Louisiana. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Our Lady Of The Lake Physician Group Llc and his current practice location is 2647 S Saint Elizabeth Blvd Ste 219, Gonzales, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 765-5500.

Dr Michael Shane Bodin is licensed to practice in Louisiana (license number 200969) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376743427.

Contact Information

Dr Michael Shane Bodin, MD
2647 S Saint Elizabeth Blvd Ste 219,
Gonzales, LA 70737-5020
(225) 765-5500
(225) 743-2620

Map and Direction




Physician's Profile

Full NameDr Michael Shane Bodin
GenderMale
SpecialityFamily Practice
Experience19 Years
Location2647 S Saint Elizabeth Blvd Ste 219, Gonzales, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michael Shane Bodin attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2005
  NPI Data:
  • NPI Number: 1376743427
  • Provider Enumeration Date: 07/18/2007
  • Last Update Date: 01/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8123105194
  • Enrollment ID: I20080402000147

Medical Identifiers

Medical identifiers for Dr Michael Shane Bodin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376743427NPI-NPPES
1238341MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 200969 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Our Lady Of The Lake Regional Medical CenterBaton rouge, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Our Lady Of The Lake Physician Group Llc4587849781521

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Michael Shane Bodin allows following entities to bill medicare on his behalf.
Entity NameOur Lady Of Lake Ascension, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306899067
PECOS PAC ID: 3577452259
Enrollment ID: O20040311000822
Entity NameOur Lady Of The Lake Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033494943
PECOS PAC ID: 4587849781
Enrollment ID: O20120529000377
Entity NameLake Urgent Care Ascension Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912243122
PECOS PAC ID: 0244479095
Enrollment ID: O20130627000023

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 Michael Shane Bodin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Michael Shane Bodin, MD
2647 S Saint Elizabeth Blvd,
Gonzales, LA 70737-5021

Ph: (225) 647-8511		Dr Michael Shane Bodin, MD
2647 S Saint Elizabeth Blvd Ste 219,
Gonzales, LA 70737-5020

Ph: (225) 765-5500

Reviews and Comments


Family Medicine Doctors in Gonzales, LA

John F. Fraiche, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2647 S Saint Elizabeth Blvd Ste 100, Gonzales, LA 70737
Phone: 225-765-5500    Fax: 225-644-5415
Robert P. St. Amant, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2647 S Saint Elizabeth Blvd Ste 311, Gonzales, LA 70737
Phone: 225-743-2833    Fax: 225-743-2074
Shawn Hall, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2647 S Saint Elizabeth Blvd Ste 100, Gonzales, LA 70737
Phone: 225-765-5500    Fax: 225-644-5415
Dr. Ericka Theresa Flood, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2400 S Burnside Ave, Gonzales, LA 70737
Phone: 225-761-5211    Fax: 225-761-5266
Richard J. Caro, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2304 S. Burnside Ave., Ste 2, Gonzales, LA 70737
Phone: 225-647-6533    Fax: 225-644-7533
Jeffrey Delaune,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 12320-1 La Hwy. 44, Gonzales, LA 70737
Phone: 225-647-5767    Fax: 225-647-4761

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.