Dr Ronald Paul Koepke, MD | |
2516 Broadmoor Blvd, Monroe, LA 71201-2988 | |
(318) 322-1161 | |
(318) 322-9313 |
Full Name | Dr Ronald Paul Koepke |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 2516 Broadmoor Blvd, Monroe, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053389858 | NPI | - | NPPES |
100471 | Other | LA | VANTAGE HEALTH PLAN, INC |
1191469 | Medicaid | LA | |
012929 | Other | LA | LOUISIANA GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 012929 (Louisiana) | Primary |
Entity Name | Affinity Health Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023291226 PECOS PAC ID: 9335226547 Enrollment ID: O20080411000088 |
Mailing Address | Practice Location Address |
---|---|
Dr Ronald Paul Koepke, MD 130 Desiard St, Suite 355, Monroe, LA 71201-7319 Ph: (318) 807-7875 | Dr Ronald Paul Koepke, MD 2516 Broadmoor Blvd, Monroe, LA 71201-2988 Ph: (318) 322-1161 |
Arthur Eldridge Richert, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 611 Grammont St., Monroe, LA 71201 Phone: 318-325-2634 Fax: 318-812-1205 | |
Richard Van Vines Ii, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 920 Oliver Road, Suite A, Monroe, LA 71201 Phone: 318-329-9202 Fax: 318-329-9202 | |
James Thomas Rittelmeyer, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1100 N 18th St Ste 100, Monroe, LA 71201 Phone: 318-361-9900 Fax: 318-361-0428 | |
Mr. Praneet Sivaramakrishnan Iyer, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7000 | |
Dr. Charles Ujay Gbadouwey, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-966-4541 Fax: 318-966-4543 | |
Kelvin C Wade, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 401 Hall St Ste A, Monroe, LA 71201 Phone: 318-324-9113 Fax: 318-329-9382 | |
Dr. Nkeekam O Anumele, M.D., PHARM D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 711 Wood St, Ste A, Monroe, LA 71201 Phone: 318-323-8847 Fax: 318-327-3410 |