Herbert R Plauche, MD - Medicare Orthopedic Surgery in Covington, LA

Herbert R Plauche, MD is a medicare enrolled "Orthopaedic Surgery" physician in Covington, Louisiana. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1994 and has 30 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Lmg Llc and his current practice location is 19343 Sunshine Ave, Covington, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 892-5117.

Herbert R Plauche is licensed to practice in Louisiana (license number 022170) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275599557.

Contact Information

Herbert R Plauche, MD
19343 Sunshine Ave,
Covington, LA 70433-8834
(985) 892-5117
(985) 892-5128

Map and Direction




Physician's Profile

Full NameHerbert R Plauche
GenderMale
SpecialityOrthopedic Surgery
Experience30 Years
Location19343 Sunshine Ave, Covington, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Herbert R Plauche attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1994
  NPI Data:
  • NPI Number: 1275599557
  • Provider Enumeration Date: 04/25/2006
  • Last Update Date: 06/29/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 8527050442
  • Enrollment ID: I20040331001568

Medical Identifiers

Medical identifiers for Herbert R Plauche such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275599557NPI-NPPES
1492647MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 022170 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
AvalaCovington, LAHospital
St Tammany Parish HospitalCovington, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lmg Llc771910962835

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Herbert R Plauche allows following entities to bill medicare on his behalf.
Entity NameLmg Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871919936
PECOS PAC ID: 7719109628
Enrollment ID: O20141110000730

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Herbert R Plauche is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Herbert R Plauche, MD
19343 Sunshine Ave,
Covington, LA 70433-8834

Ph: (985) 892-5117
Herbert R Plauche, MD
19343 Sunshine Ave,
Covington, LA 70433-8834

Ph: (985) 892-5117

Reviews and Comments


Orthopaedic Surgery Doctors in Covington, LA

Matti W Palo Jr., MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 70411 Highway 21, Covington, LA 70433
Phone: 985-400-5566    Fax: 985-400-5560
Dr. Jeremy R James, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 76 Starbrush Cir, Covington, LA 70433
Phone: 985-400-5778    Fax: 985-888-1042
Daniel T. Miles, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433
Phone: 985-867-3800    
Daniel Sinclair, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 19343 Sunshine Ave, Covington, LA 70433
Phone: 985-892-5117    Fax: 985-892-5128
Khader Samer-fayez Shamieh, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 76 Starbrush Cir, Covington, LA 70433
Phone: 844-800-3472    
Joseph Bonvillain, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 19343 Sunshine Ave, Covington, LA 70433
Phone: 985-892-5117    Fax: 985-892-5128

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.