Active NPI
William Bennett, M.D., PH.D.
- Interventional Cardiology Physician
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MD.202733
- Practice address
- 1850 Gause Blvd E
Suite 202
Slidell, LA 70461-5442 - Phone
- (985) 639-3777
- Fax
- (985) 661-3515
- NPI assigned
- Mar 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Interventional Cardiology Physician | 207RI0011X | MD.202733 | LA | Primary |
Addresses
Primary practice location
1850 Gause Blvd E
Suite 202
Slidell, LA 70461-5442
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07156869 | Medicaid | MS | |
| 1507709 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100217000006 | LA | Practitioner - Interventional Cardiology | 8820132780 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- University of Alabama School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ochsner Clinic LLC
Practice addresses (Care Compare)
1850 Gause Blvd E
Suite 202
Slidell, LA 70461-5455
Phone (985) 639-3777
Hospital & facility affiliations
- Ochsner Medical Center Acute
- St Bernard Parish Hospital
- Ochsner Medical Center-Kenner
- Slidell Memorial Hospital
- St Charles Parish Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.202733 | LA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Quantum Healthcare Medical Associates Inc. | Past | Accepting new patients |
Locations
2005 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 836-9820
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
#9390
Raceland, LA 70394
Phone (225) 336-3100
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
1850 Gause Blvd E
Ste 202
Slidell, LA 70461
Phone (985) 639-3718
Interoperability endpoints
- wbennett400187@direct.ochsner.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Hattiesburg, MS
- NPI 1962796789
-
- Pediatrics Physician
- Destrehan, LA
- NPI 1356540108
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Luling, LA
- NPI 1295716637
Hospital
-
- Rural Acute Care Hospital
- Chalmette, LA
- NPI 1083903744
Hospital
-
- General Acute Care Hospital
- Kenner, LA
- NPI 1710097936
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479081600000",
"number": "1023288792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212429",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 GAUSE BLVD E",
"address_2": "SUITE 202",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615442",
"telephone_number": "985-639-3777",
"fax_number": "985-661-3515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "WILLIAM",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-09",
"last_updated": "2016-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "LA",
"license": "MD.202733",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07156869",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1507709",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.