David Kwame Tawiah Gboloo, MD - Medicare Emergency Medicine in Gonzales, LA

David Kwame Tawiah Gboloo, MD is a medicare enrolled "Internal Medicine" physician in Gonzales, Louisiana. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Our Lady Of The Lake Physician Group Llc and his current practice location is 2524 South Philippe Ave, Gonzales, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 644-1990.

David Kwame Tawiah Gboloo is licensed to practice in Louisiana (license number 13365R) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528163326.

Contact Information

David Kwame Tawiah Gboloo, MD
2524 South Philippe Ave,
Gonzales, LA 70737
(225) 644-1990
(225) 644-3264



Physician's Profile

Full NameDavid Kwame Tawiah Gboloo
GenderMale
SpecialityEmergency Medicine
Experience31 Years
Location2524 South Philippe Ave, Gonzales, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Kwame Tawiah Gboloo graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1528163326
  • Provider Enumeration Date: 09/14/2006
  • Last Update Date: 05/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2365414299
  • Enrollment ID: I20040810001473

Medical Identifiers

Medical identifiers for David Kwame Tawiah Gboloo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528163326NPI-NPPES
1562262MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 13365R (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Our Lady Of The Lake Regional Medical CenterBaton rouge, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Our Lady Of The Lake Physician Group Llc4587849781521

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David Kwame Tawiah Gboloo allows following entities to bill medicare on his behalf.
Entity NameOur Lady Of The Lake Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033494943
PECOS PAC ID: 4587849781
Enrollment ID: O20120529000377

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Kwame Tawiah Gboloo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David Kwame Tawiah Gboloo, MD
5959 S Sherwood Forest Blvd,
Baton Rouge, LA 70816-6038

Ph: (225) 765-5727
David Kwame Tawiah Gboloo, MD
2524 South Philippe Ave,
Gonzales, LA 70737

Ph: (225) 644-1990

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Internal Medicine Doctors in Gonzales, LA

Mydhili Kanumilli, M.D
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737
Phone: 225-647-8511    Fax: 225-644-5213
Niksad Abraham, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2647 S Saint Elizabeth Blvd Ste 300, Gonzales, LA 70737
Phone: 225-767-3900    Fax: 225-766-2226
Swapna Gayathri Kallu, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2647 S Saint Elizabeth Blvd Ste 219, Gonzales, LA 70737
Phone: 225-765-5500    Fax: 225-743-2620
Mason Wade Rau, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 2647 S Saint Elizabeth Blvd Ste 219, Gonzales, LA 70737
Phone: 225-647-8511    Fax: 225-644-8358
Dr. Gretchen Marie Yandle, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737
Phone: 225-647-8511    Fax: 225-644-5213
Dr. Rahil Devendra Shah, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1014 Saint Clair Blvd Ste 3030, Gonzales, LA 70737
Phone: 225-765-5500    Fax: 225-743-2546
Dr. Carlos R Vazquez, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2211 S Burnside Ave, Ste 4, Gonzales, LA 70737
Phone: 225-647-1947    

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