Ilana S Fortgang, MD | |
1111 Medical Center Blvd., Suite S-450, Marrero, LA 70072 | |
(504) 349-6401 | |
(504) 349-6444 |
Full Name | Ilana S Fortgang |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 1111 Medical Center Blvd., Marrero, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689721573 | NPI | - | NPPES |
1499617 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0206X | Pediatrics - Pediatric Gastroenterology | 023358 (Louisiana) | Secondary |
2080P0206X | Pediatrics - Pediatric Gastroenterology | MD.023358 (Louisiana) | Primary |
Entity Name | Ochsner Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Entity Name | Administrators Of The Tulane Educational Fund |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528014164 PECOS PAC ID: 0446163760 Enrollment ID: O20031201000636 |
Entity Name | Metropolitan Gastroenterology Associates Apmc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902822547 PECOS PAC ID: 3274432299 Enrollment ID: O20040108000039 |
Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
Mailing Address | Practice Location Address |
---|---|
Ilana S Fortgang, MD P.o. Box 1520, Marrero, LA 70073-1520 Ph: (504) 349-6423 | Ilana S Fortgang, MD 1111 Medical Center Blvd., Suite S-450, Marrero, LA 70072 Ph: (504) 349-6401 |
Dr. Roselyn St Etienne, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4701 Westbank Expy Ste 7, Marrero, LA 70072 Phone: 504-582-9922 Fax: 504-582-9928 | |
Dr. Robert L. Guy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4225 Lapalco Blvd, Marrero, LA 70072 Phone: 504-391-7337 Fax: 504-398-7259 | |
Mrs. Oleitha Wilson-ruffin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4225 Lapalco Blvd, Marrero, LA 70072 Phone: 504-391-7337 Fax: 504-398-7213 | |
Dr. Emilio J Saturno, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1111 Medical Center Blvd, Suite S650, Marrero, LA 70072 Phone: 504-349-6504 Fax: 504-349-6528 | |
Lindsay York Fantaci, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 Medical Center Blvd, Suite N803, Marrero, LA 70072 Phone: 504-934-8333 Fax: 504-934-8334 | |
Jude J Cope, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4700 Wichers Dr Ste 307, Marrero, LA 70072 Phone: 504-509-5437 Fax: 504-309-9307 | |
Xiaoyun Shang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 829 Barataria Blvd, Marrero, LA 70072 Phone: 504-368-7337 Fax: 504-368-7376 |