Individual provider Active NPI

William Bennett, M.D., PH.D.

  • Interventional Cardiology Physician
  • Slidell, LA
National Provider Identifier
1023288792
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD.202733 Issued in LA
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

Updated by the provider on Nov 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
07156869MedicaidMS
1507709MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100217000006 LA Practitioner - Interventional CardiologyPractitioner - Internal Medicine 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 2,845 clinicians

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 Hospital, New Orleans, LA, CCN 190036
  • St Bernard Parish Hospital Hospital, Chalmette, LA, CCN 190308
  • Ochsner Medical Center-Kenner Hospital, Kenner, LA, CCN 190274
  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040
  • St Charles Parish Hospital Hospital, Luling, LA, CCN 190079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD.202733LAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Sep 26, 2016 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 26, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.