Ross Ganucheau, MD | |
1810 Lindberg Dr Ste 1100, Slidell, LA 70458-8158 | |
(985) 646-0945 | |
(985) 643-8510 |
Full Name | Ross Ganucheau |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 7 Years |
Location | 1810 Lindberg Dr Ste 1100, Slidell, 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 |
---|---|---|---|
1801383914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 328782 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Our Lady Of The Lake Physician Group Llc | 4587849781 | 521 |
Entity Name | Our Lady Of The Lake Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
Mailing Address | Practice Location Address |
---|---|
Ross Ganucheau, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 765-5727 | Ross Ganucheau, MD 1810 Lindberg Dr Ste 1100, Slidell, LA 70458-8158 Ph: (985) 646-0945 |
Andrew Blaine Adams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 985 Robert Blvd Ste 105, Slidell, LA 70458 Phone: 985-661-6215 Fax: 985-882-4501 | |
Dr. Miyoshi Lizette Henry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1150 Robert Blvd Ste 100, Slidell, LA 70458 Phone: 985-646-1122 Fax: 888-865-7591 | |
Jennifer Renae Williams, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 901 Gause Blvd, First Floor, Slidell, LA 70458 Phone: 985-280-8971 Fax: 985-280-2618 | |
Robert L Tassin Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 119 White Stork Dr, Slidell, LA 70461 Phone: 985-290-4026 Fax: 985-646-3898 | |
Caroline C Segura, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Gause Blvd E, Suite 1013, Slidell, LA 70461 Phone: 985-646-4464 Fax: 985-646-4485 | |
Sun Hee Shin, Family Medicine Medicare: Medicare Enrolled Practice Location: 2750 Gause Blvd E, Slidell, LA 70461 Phone: 985-639-3777 | |
Dr. Tradina Pichon, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1901 Possum Hollow Rd, Slidell, LA 70458 Phone: 985-768-2649 Fax: 985-259-8008 |