Thaddeus Ray Erato, MD | |
1052 Lakeshore Blvd, Slidell, LA 70461-4678 | |
(504) 339-3472 | |
Not Available |
Full Name | Thaddeus Ray Erato |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1052 Lakeshore Blvd, Slidell, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962429985 | NPI | - | NPPES |
1675211 | Medicaid | LA | |
04609769 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 10535R (Louisiana) | Secondary |
207P00000X | Emergency Medicine | MD.10535R (Louisiana) | Primary |
Entity Name | East Louisiana State Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043206543 PECOS PAC ID: 6002853835 Enrollment ID: O20050413000902 |
Entity Name | St Tammany Emergency Physicians Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891187654 PECOS PAC ID: 7214255967 Enrollment ID: O20150409001843 |
Entity Name | Washington Parish Emergency Physicians Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538511043 PECOS PAC ID: 4284928094 Enrollment ID: O20160802001165 |
Mailing Address | Practice Location Address |
---|---|
Thaddeus Ray Erato, MD 1052 Lakeshore Blvd, Slidell, LA 70461-4678 Ph: (504) 339-3472 | Thaddeus Ray Erato, MD 1052 Lakeshore Blvd, Slidell, LA 70461-4678 Ph: (504) 339-3472 |
Dr. Archie C Tatford, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-649-8542 | |
Shaun Xiao, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 Robert Blvd, Slidell, LA 70458 Phone: 985-639-3777 Fax: 985-639-3708 | |
Wade Joseph Estopinal, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 985 Robert Blvd, Suite 101, Slidell, LA 70458 Phone: 985-690-8300 Fax: 985-690-8301 | |
Dr. Ernest Charles Hansen Iii, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Drive, Slidell, LA 70461 Phone: 985-646-5189 | |
Dr. Matthew Brian Rivenburgh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Drive, Slidell, LA 70461 Phone: 985-646-5189 | |
Dr. Wayne Michael Berkowitz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Slidell, LA 70461 Phone: 985-646-5189 | |
Brant P Domangue, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Slidell, LA 70461 Phone: 985-646-5189 |