Michael Maddox, MD | |
200 W Esplanade Ave, Suite 210, Kenner, LA 70065-2489 | |
(504) 464-8588 | |
(504) 464-8586 |
Full Name | Michael Maddox |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 16 Years |
Location | 200 W Esplanade Ave, Kenner, 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 |
---|---|---|---|
1356503833 | NPI | - | NPPES |
02158023 | Medicaid | MS | |
2339109 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD.205949 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ochsner Clinic Foundation | New orleans, LA | Hospital |
Ochsner Medical Center-kenner | Kenner, LA | Hospital |
Ochsner St Anne General Hospital | Raceland, LA | Hospital |
Slidell Memorial Hospital | Slidell, LA | Hospital |
Ochsner Medical Center - Baton Rouge | Baton rouge, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ochsner Clinic Llc | 8224933619 | 2342 |
Entity Name | Ochsner Clinic Llc |
---|---|
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 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528014164 PECOS PAC ID: 0446163760 Enrollment ID: O20031201000636 |
Mailing Address | Practice Location Address |
---|---|
Michael Maddox, MD 1514 Jefferson Hwy, New Orleans, LA 70121-2483 Ph: (504) 842-4000 | Michael Maddox, MD 200 W Esplanade Ave, Suite 210, Kenner, LA 70065-2489 Ph: (504) 464-8588 |
Matthew Alan Nielsen, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 200 W Esplanade Ave, Kenner, LA 70065 Phone: 504-464-8588 Fax: 504-464-8586 | |
Grant Robert Pollock, MD Urology Medicare: Medicare Enrolled Practice Location: 200 W Esplanade Ave, Kenner, LA 70065 Phone: 504-468-8588 Fax: 504-842-7596 |