Ercole Anthony Favaloro Iii, MD | |
1202 S Tyler St, Covington, LA 70433-2330 | |
(985) 898-4000 | |
Not Available |
Full Name | Ercole Anthony Favaloro Iii |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1202 S Tyler St, Covington, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467989582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | R76317 (Arizona) | Secondary |
207P00000X | Emergency Medicine | R76317 (Arizona) | Primary |
Entity Name | St Tammany Emergency Physicians Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891187654 PECOS PAC ID: 7214255967 Enrollment ID: O20150409001843 |
Mailing Address | Practice Location Address |
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Ercole Anthony Favaloro Iii, MD Po Box 840134, New Orleans, LA 70184-0134 Ph: () - | Ercole Anthony Favaloro Iii, MD 1202 S Tyler St, Covington, LA 70433-2330 Ph: (985) 898-4000 |
Dr. Luis Federico Matta Ii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 71205 Highway 21 Ste 1, Covington, LA 70433 Phone: 985-809-8868 | |
Dr. Lloyd Joseph Gueringer Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4438 | |
Dr. Haley Rebecca Davis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4000 | |
Dr. Charles David Muntan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433 Phone: 985-867-4000 | |
Dr. John Edward Stephenson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 73153 Military Rd, Covington, LA 70435 Phone: 985-626-6133 | |
Richard G Marek Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Ochsner Blvd, Covington, LA 70433 Phone: 985-875-2828 | |
Brian Phillip Guidry, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 95 E Fairway Dr, Covington, LA 70433 Phone: 985-867-4000 Fax: 985-867-4001 |