Dr Tommie Mack Granger, MD | |
211 4th St, Box 30163, Alexandria, LA 71301-8421 | |
(318) 767-5878 | |
(318) 767-5887 |
Full Name | Dr Tommie Mack Granger |
---|---|
Gender | Male |
Speciality | Cardiac Surgery |
Experience | 36 Years |
Location | 211 4th St, Alexandria, 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 |
---|---|---|---|
1124018866 | NPI | - | NPPES |
126445 | Other | MP | MISSISSIPPI MEDICAID |
1982067 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 10146R (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rapides Regional Medical Center | Alexandria, LA | Hospital |
Christus St Frances Cabrini Hospital | Alexandria, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cardiovascular Surgery Of Alexandria Llc | 8022045020 | 2 |
Entity Name | Cardiovascular Surgery Of Alexandria Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982735486 PECOS PAC ID: 8022045020 Enrollment ID: O20050721000247 |
Mailing Address | Practice Location Address |
---|---|
Dr Tommie Mack Granger, MD 211 4th St, Box 30163, Alexandria, LA 71301-8421 Ph: (318) 767-5878 | Dr Tommie Mack Granger, MD 211 4th St, Box 30163, Alexandria, LA 71301-8421 Ph: (318) 767-5878 |
Dr. Robert Chance Dewitt, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3311 Prescott Rd Ste 312, Alexandria, LA 71301 Phone: 318-528-1998 Fax: 318-767-9931 | |
Dr. Gary P Jones, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3311 Prescott Rd, Suite 202, Alexandria, LA 71301 Phone: 318-442-0106 Fax: 318-448-8918 |