John C Beatrous, M.D.
Individual provider Active NPI Otolaryngology Physician · Covington, LA
NPI 1063472264 · NPPES record last updated Jun 30, 2020
Key facts
- NPI
- 1063472264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 015760 (LA)
- Practice address
- 350 Lakeview CT
Suite a
Covington, LA 70433-7514 - Phone
- (985) 845-2677
- Fax
- (985) 867-5498
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Associated Surgical Specialists, L.L.C.
Practice addresses (Care Compare)
350 Lakeview CT
Suite a
Covington, LA 70433-7524
Phone (985) 845-2677
Hospital & facility affiliations
- St Tammany Parish Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050923000278 | LA | Practitioner - Otolaryngology | 5193759652 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathy L. Chauvin, M.D. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 015760 | LA | Yes |
Addresses
Primary practice location
350 Lakeview CT
Suite a
Covington, LA 70433-7514
Mailing address
350 Lakeview CT
Suite a
Covington, LA 70433-7514
Phone (985) 845-2677
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1348368 | Medicaid | LA |
Other providers in Covington, LA
- Jnai Bayone
- Bayou Orthotic and Prosthetic Center LLC
- Beacon Healing & Wellness LLC
- Brandon K Bean
- Britton Postlethwaite Beatrous
- Danielle Loup Beattie
- Danielle Beatty
- Emily Beau
- Meredith Virginia Bechac
- Gina Mix Beck
All providers in Covington, LA · Otolaryngology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.