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Ronald David Menard

Family Medicine

Allopathic & Osteopathic Physicians

9001 Summa Avenue, Baton Rouge, LA 70809-8210

PECOS Enrollment

This provider is enrolled in PECOS as RONALD MENARD.

Based on the most recent information from CMS, provider Ronald David Menard is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1699760520
Provider Type
Individual
Full Name
Menard, Ronald David
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
9/16/2005
Last Updated
4/14/2010

Contact Information

Practice Location

9001 Summa Avenue, Baton Rouge, LA 70809-8210

(225) 761-5480

Unlisted Fax

Mailing Location

1514 Jefferson Highway, New Orleans, LA 70121

(504) 842-4000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 015180 Louisiana

Provider Identifiers

ID	Description	Issuer
ID 0100745	Description Other	Issuer UNITED HEALTHCARE Louisiana
ID 1319384	Description Medicaid	Issuer Unlisted Louisiana
ID 5024620	Description Other	Issuer AETNA Louisiana
ID 06256682	Description Medicaid	Issuer Unlisted Mississippi
ID 7740707	Description Other	Issuer CIGNA (PAL ID#) Louisiana

Ronald David Menard

PECOS Enrollment

Profile Details

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