Srivalli Donthineni, MD | |
1125 W Highway 30, Gonzales, LA 70737-5004 | |
(225) 647-8511 | |
(225) 644-5213 |
Full Name | Srivalli Donthineni |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 29 Years |
Location | 1125 W Highway 30, Gonzales, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609981166 | NPI | - | NPPES |
1476951 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 15830R (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
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 Lake Ascension, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306899067 PECOS PAC ID: 3577452259 Enrollment ID: O20040311000822 |
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 |
---|---|
Srivalli Donthineni, MD 1125 W. Hwy 30, Gonzales, LA 70737 Ph: (225) 647-8511 | Srivalli Donthineni, MD 1125 W Highway 30, Gonzales, LA 70737-5004 Ph: (225) 647-8511 |
John F. Fraiche, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd Ste 100, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-644-5415 | |
Robert P. St. Amant, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2647 S Saint Elizabeth Blvd Ste 311, Gonzales, LA 70737 Phone: 225-743-2833 Fax: 225-743-2074 | |
Shawn Hall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd Ste 100, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-644-5415 | |
Dr. Ericka Theresa Flood, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 S Burnside Ave, Gonzales, LA 70737 Phone: 225-761-5211 Fax: 225-761-5266 | |
Dr. Michael Shane Bodin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd Ste 219, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-743-2620 | |
Richard J. Caro, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2304 S. Burnside Ave., Ste 2, Gonzales, LA 70737 Phone: 225-647-6533 Fax: 225-644-7533 | |
Jeffrey Delaune, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12320-1 La Hwy. 44, Gonzales, LA 70737 Phone: 225-647-5767 Fax: 225-647-4761 |