Stephanie Bango, | |
1401 Jefferson Hwy, New Orleans, LA 70121-2426 | |
(504) 842-4747 | |
(504) 842-1242 |
Full Name | Stephanie Bango |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 1401 Jefferson Hwy, New Orleans, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831584374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME136888 (Florida) | Secondary |
207R00000X | Internal Medicine | 328358 (Louisiana) | Primary |
Entity Name | Chen Neighborhood Medical Centers Of South Florida, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881024800 PECOS PAC ID: 2860623436 Enrollment ID: O20140324001909 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Bango, 1395 Nw 167th St, Miami, FL 33169-5710 Ph: (305) 891-7500 | Stephanie Bango, 1401 Jefferson Hwy, New Orleans, LA 70121-2426 Ph: (504) 842-4747 |
Leigh Victoria Deshotels, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1430 Tulane Ave # Sl50, New Orleans, LA 70112 Phone: -- | |
Dr. James Desporte Lilly, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2820 Napoleon Ave, Suite 720, New Orleans, LA 70115 Phone: 504-896-8670 Fax: 504-896-8699 | |
Carmen Gladys Espinoza, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1542 Tulane Ave, New Orleans, LA 70112 Phone: 504-903-1301 | |
Jose Rodrigo Restrepo, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Department Of Radiology, 1542 Tulane Ave, Box T2-2, New Orleans, LA 70112 Phone: 504-568-4646 | |
Jorge Alan Martinez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2021 Perdido St, New Orleans, LA 70112 Phone: 504-903-3000 | |
Dr. Princess Eronmwon Dennar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1430 Tulane Ave, Sl-16, New Orleans, LA 70112 Phone: 504-988-7518 Fax: 504-988-8252 | |
Urszula Laszkiewicz Moroz, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1601 Perdido St, New Orleans, LA 70112 Phone: 504-568-0811 |