Dr Peter William Lundberg, MD | |
1111 Medical Center Blvd Ste S860, Marrero, LA 70072-3136 | |
(504) 349-6860 | |
(504) 349-6865 |
Full Name | Dr Peter William Lundberg |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 13 Years |
Location | 1111 Medical Center Blvd Ste S860, Marrero, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619267952 | NPI | - | NPPES |
103320820 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 310253 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
West Jefferson Medical Center | Marrero, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Surgical Clinic Of Louisiana Llc | 3476500463 | 3 |
Entity Name | Surgical Clinic Of Louisiana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386664225 PECOS PAC ID: 3476500463 Enrollment ID: O20050401000341 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter William Lundberg, MD 1111 Medical Center Blvd Ste S860, Marrero, LA 70072-3136 Ph: (504) 349-6860 | Dr Peter William Lundberg, MD 1111 Medical Center Blvd Ste S860, Marrero, LA 70072-3136 Ph: (504) 349-6860 |
Malachi G. Sheahan, Iii Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Medical Center Blvd, Suite N713, Marrero, LA 70072 Phone: 504-349-6713 | |
Vaughn Eugene Nossaman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Medical Center Blvd Ste South860, Marrero, LA 70072 Phone: 504-349-6860 | |
Dr. Sarah E. Baker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1101 Medical Center Blvd, Marrero, LA 70072 Phone: 504-349-6713 Fax: 504-349-6733 | |
Dr. Robert David Cummiskey Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 Avenue G, Marrero, LA 70072 Phone: 504-349-6713 Fax: 504-349-6733 | |
David C Treen Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Medical Center Blvd, South 860, Marrero, LA 70072 Phone: 504-349-6860 | |
Dr. Charles W. Thomas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 Avenue G, Marrero, LA 70072 Phone: 504-349-6713 Fax: 504-349-6733 | |
Dr. Frank C. Divincenti, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1111 Medical Center Blvd, Ste 713n, Marrero, LA 70072 Phone: 504-349-6713 Fax: 504-349-6733 |