Tracy A Dewenter, | |
2021 Perdido St, New Orleans, LA 70112-1352 | |
(504) 568-2315 | |
Not Available |
Full Name | Tracy A Dewenter |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 25 Years |
Location | 2021 Perdido St, New Orleans, 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 |
---|---|---|---|
1508052747 | NPI | - | NPPES |
1062545 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 026496 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Medical Center New Orleans | New orleans, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Louisiana State University School Of Medicine In New Orleans Faculty G | 0244136448 | 381 |
Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661 |
Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20040323001863 |
Mailing Address | Practice Location Address |
---|---|
Tracy A Dewenter, 1340 Poydras St, Suite 1640, New Orleans, LA 70112-1221 Ph: (504) 412-1835 | Tracy A Dewenter, 2021 Perdido St, New Orleans, LA 70112-1352 Ph: (504) 568-2315 |
Dr. Michael Benjamin Defatta, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1901 Perdido St, New Orleans, LA 70112 Phone: 504-568-6031 | |
Dr. Michael Peng-wei Lee, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 3715 Prytania St, New Orleans, LA 70115 Phone: 504-392-4009 | |
Thomas H Carson, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 200 Henry Clay Ave, Children's Hospital- Department Of Pathology, New Orleans, LA 70118 Phone: 504-896-9816 Fax: 504-894-5354 | |
Dr. Gerald Edward Liuzza, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1401 Foucher St, New Orleans, LA 70115 Phone: 504-897-8828 Fax: 504-897-8762 | |
Gregory Neal Sossaman, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-4000 | |
Dr. Terence Thomas Casey, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1401 Foucher St, New Orleans, LA 70115 Phone: 504-897-8418 Fax: 504-897-8762 | |
Samantha Huber, Pathology Medicare: Not Enrolled in Medicare Practice Location: 3001 Earhart Blvd, New Orleans, LA 70125 Phone: 504-658-9660 |