Dr Trevor C Richard, MD | |
2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | |
(225) 647-8511 | |
(225) 644-5213 |
Full Name | Dr Trevor C Richard |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 18 Years |
Location | 2647 S Saint Elizabeth Blvd, Gonzales, 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 |
---|---|---|---|
1588875017 | NPI | - | NPPES |
07946 | Medicaid | LA | |
1079464 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 202291 (Louisiana) | Secondary |
207R00000X | Internal Medicine | 202291 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Helena Parish Hospital | Greensburg, LA | Hospital |
East Carroll Parish Hospital | Lake providence, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jena Ess Llc | 7810116258 | 8 |
Emergency Staffing Solutions Inc | 9830001650 | 38 |
Entity Name | East Carroll Parish Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982695441 PECOS PAC ID: 1153216619 Enrollment ID: O20040216000563 |
Entity Name | Our Lady Of Lake Ascension, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306899067 PECOS PAC ID: 3577452259 Enrollment ID: O20040311000822 |
Entity Name | Correct Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20040816000150 |
Entity Name | Emergency Staffing Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20050610000177 |
Entity Name | St Helena Parish Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1588614036 PECOS PAC ID: 6901893205 Enrollment ID: O20100115000573 |
Entity Name | St Helena Parish Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1013068808 PECOS PAC ID: 6901893205 Enrollment ID: O20100115000596 |
Entity Name | St. Martin Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528312584 PECOS PAC ID: 0446495410 Enrollment ID: O20130321000353 |
Entity Name | Jena Ess Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235544115 PECOS PAC ID: 7810116258 Enrollment ID: O20140916002675 |
Entity Name | Jena Ess Hospitalist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144635020 PECOS PAC ID: 5294954533 Enrollment ID: O20140918000317 |
Entity Name | Oakdale Ess Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750785119 PECOS PAC ID: 7517289713 Enrollment ID: O20141125000402 |
Entity Name | Hub City Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992180566 PECOS PAC ID: 3173831211 Enrollment ID: O20151009000080 |
Mailing Address | Practice Location Address |
---|---|
Dr Trevor C Richard, MD 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 Ph: (225) 647-8511 | Dr Trevor C Richard, MD 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 Ph: (225) 647-8511 |
Mydhili Kanumilli, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-5213 | |
Niksad Abraham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd Ste 300, Gonzales, LA 70737 Phone: 225-767-3900 Fax: 225-766-2226 | |
Swapna Gayathri Kallu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd Ste 219, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-743-2620 | |
Mason Wade Rau, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2647 S Saint Elizabeth Blvd Ste 219, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-8358 | |
Dr. Gretchen Marie Yandle, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-5213 | |
Dr. Rahil Devendra Shah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1014 Saint Clair Blvd Ste 3030, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-743-2546 | |
Dr. Carlos R Vazquez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 S Burnside Ave, Ste 4, Gonzales, LA 70737 Phone: 225-647-1947 |