Dr Raphael John Higginbotham, MD - Medicare Nephrology in Opelousas, LA

Dr Raphael John Higginbotham, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Opelousas, Louisiana. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2001 and has 23 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Kidney Treatment Options Center Of Lafayette, Llc, Azar And Lahood Enterprises Llc and his current practice location is 927 E Prudhomme St, Opelousas, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 594-8381.

Dr Raphael John Higginbotham is licensed to practice in Louisiana (license number 025644) 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 1477507531.

Contact Information

Dr Raphael John Higginbotham, MD
927 E Prudhomme St,
Opelousas, LA 70570-8240
(337) 594-8381
Not Available

Map and Direction




Physician's Profile

Full NameDr Raphael John Higginbotham
GenderMale
SpecialityNephrology
Experience23 Years
Location927 E Prudhomme St, Opelousas, 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 Raphael John Higginbotham attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2001
  NPI Data:
  • NPI Number: 1477507531
  • Provider Enumeration Date: 05/20/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1355344276
  • Enrollment ID: I20060815000385

Medical Identifiers

Medical identifiers for Dr Raphael John Higginbotham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477507531NPI-NPPES
04333MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 025644 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Dci - OpelousasOpelousas, LADialysis facility
Dci - Kidney Treatment Options Ctr, Llc (ktoc)Lafayette, LADialysis facility
Fmcna - Breaux BridgeBreaux bridge, LADialysis facility
Lafayette General Medical CenterLafayette, LAHospital
Opelousas General Health SystemOpelousas, LAHospital
Our Lady Of Lourdes Regional Medical Center, IncLafayette, LAHospital
Mercy Regional Medical CenterVille platte, LAHospital
St Martin HospitalBreaux bridge, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kidney Treatment Options Center Of Lafayette, Llc89211064852
Azar And Lahood Enterprises Llc97393196172

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 Raphael John Higginbotham allows following entities to bill medicare on his behalf.
Entity NameKidney Treatment Options Center Of Lafayette, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013134147
PECOS PAC ID: 8921106485
Enrollment ID: O20070606000507
Entity NameAzar & Lahood Enterprises Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821420258
PECOS PAC ID: 9739319617
Enrollment ID: O20140221000745

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 Raphael John Higginbotham 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 Raphael John Higginbotham, MD
5018 Vidrine Rd,
Ville Platte, LA 70586-8707

Ph: (504) 473-8079
Dr Raphael John Higginbotham, MD
927 E Prudhomme St,
Opelousas, LA 70570-8240

Ph: (337) 594-8381

Reviews and Comments


Internal Medicine Doctors in Opelousas, LA

Fernando Alemany, M.D.,
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 3975 I-49 S Services Rd, Suite 200, Opelousas, LA 70570
Phone: 337-594-0750    Fax: 337-594-0752
Dr. Gary Wayne Blanchard,
Nephrology
Medicare: Medicare Enrolled
Practice Location: 1270 Attakapas Dr, Ste 502, Opelousas, LA 70570
Phone: 337-942-9977    Fax: 337-942-8006
Dr. David John Homan, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1233 Wayne Gilmore Cir, Suite 450, Opelousas, LA 70570
Phone: 337-942-3006    Fax: 337-942-7744
Dr. Usman Alam, M.D.,
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 611 E Prudhomme St, Suite 3, Opelousas, LA 70570
Phone: 337-942-5750    Fax: 337-948-9405
Dr. Richard Tate, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 138 Lazaro Blvd, Suite A, Opelousas, LA 70570
Phone: 337-942-2065    Fax: 337-942-9964
Elpidia H Balbastro, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Hospital Dr Ste 2, Opelousas, LA 70570
Phone: 337-942-7898    Fax: 337-942-7808
Dr. Chad Wesley Rossitter, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1620 Commerce Blvd Ste C, Opelousas, LA 70570
Phone: 337-594-0675    Fax: 781-464-2551

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.