Dr Roy Divittorio, MD | |
15837 Paul Vega Md Dr, Suite 200, Hammond, LA 70403-1462 | |
(985) 542-8190 | |
(985) 543-0031 |
Full Name | Dr Roy Divittorio |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 25 Years |
Location | 15837 Paul Vega Md Dr, Hammond, 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 |
---|---|---|---|
1679564264 | NPI | - | NPPES |
00938732 | Medicaid | MS | |
1577103 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD14045R (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ochsner Clinic Foundation | New orleans, LA | Hospital |
Slidell Memorial Hospital | Slidell, LA | Hospital |
Ochsner Medical Center-kenner | Kenner, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ochsner Clinic Llc | 8224933619 | 2342 |
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 |
Entity Name | Lallie Kemp Medical Ctr |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558303420 PECOS PAC ID: 0345238903 Enrollment ID: O20040503001188 |
Entity Name | Brown-folse Radiology Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275584856 PECOS PAC ID: 3779559984 Enrollment ID: O20040909000116 |
Entity Name | Northlake Gastroenterology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861484842 PECOS PAC ID: 9234197419 Enrollment ID: O20041221000263 |
Entity Name | Radiology Associates Of Southwest Louisiana |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033215710 PECOS PAC ID: 0941243562 Enrollment ID: O20050606000347 |
Entity Name | Second Avenue Mri Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629174339 PECOS PAC ID: 0749203610 Enrollment ID: O20060105000738 |
Entity Name | North Oaks Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164785648 PECOS PAC ID: 2466629522 Enrollment ID: O20120806000399 |
Mailing Address | Practice Location Address |
---|---|
Dr Roy Divittorio, MD Po Box 2277, Hammond, LA 70404-2277 Ph: (985) 542-8190 | Dr Roy Divittorio, MD 15837 Paul Vega Md Dr, Suite 200, Hammond, LA 70403-1462 Ph: (985) 542-8190 |
Dr. John Pitts Miller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Dr, Radiology, Hammond, LA 70403 Phone: 985-230-6700 Fax: 985-230-1528 | |
Dr. Sean Michael Gipson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Dr, Hammond, LA 70403 Phone: 985-230-1101 | |
Dr. Benjamin Wade Wilkerson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 15837 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-543-6079 Fax: 985-350-9950 | |
Matthew Peralta, ARDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-705-4475 | |
Mrs. Tyare Standberry, RDMS RVT Radiology Medicare: Not Enrolled in Medicare Practice Location: 15790 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-345-2700 | |
Dr. Stephen M Williams, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 15790 Paul Vega Md Dr, Department Of Radiology, Hammond, LA 70403 Phone: 985-230-6700 Fax: 985-230-1528 | |
Noah Mcgill, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 15790 Paul Vega Md Drive, Radiology, Hammond, LA 70403 Phone: 985-345-2700 Fax: 985-230-1528 |