Dr Mario H Lobao Goncalves, MD - Medicare Sports Medicine in Shreveport, LA

Dr Mario H Lobao Goncalves, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Shreveport, Louisiana. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Lsu Health Sciences Center Shreveport Faculty Group Practice and his current practice location is 1501 Kings Hwy, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (443) 850-8427.

Dr Mario H Lobao Goncalves is licensed to practice in Louisiana (license number 328121) 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 1063922573.

Contact Information

Dr Mario H Lobao Goncalves, MD
1501 Kings Hwy,
Shreveport, LA 71103-4228
(443) 850-8427
(318) 675-6181



Physician's Profile

Full NameDr Mario H Lobao Goncalves
GenderMale
SpecialitySports Medicine
Experience20 Years
Location1501 Kings Hwy, Shreveport, 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:
  • Dr Mario H Lobao Goncalves graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1063922573
  • Provider Enumeration Date: 10/10/2017
  • Last Update Date: 07/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9830594555
  • Enrollment ID: I20210818003066

Medical Identifiers

Medical identifiers for Dr Mario H Lobao Goncalves such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063922573NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XS0114XOrthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery 328121 (Louisiana)Secondary
207X00000XOrthopaedic Surgery 328121 (Louisiana)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine 328121 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ochsner Lsu Health Shreveport-st Mary Medical CentShreveport, LAHospital
Ochsner Lsu Health ShreveportShreveport, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lsu Health Sciences Center Shreveport Faculty Group Practice4082902721529

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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. Dr Mario H Lobao Goncalves allows following entities to bill medicare on his behalf.
Entity NameLsu Health Sciences Center Shreveport Faculty Group Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013374222
PECOS PAC ID: 4082902721
Enrollment ID: O20161012000307

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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. Dr Mario H Lobao Goncalves 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
Dr Mario H Lobao Goncalves, MD
1501 Kings Hwy,
Shreveport, LA 71103-4228

Ph: (443) 850-8427
Dr Mario H Lobao Goncalves, MD
1501 Kings Hwy,
Shreveport, LA 71103-4228

Ph: (443) 850-8427

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Orthopaedic Surgery Doctors in Shreveport, LA

Dr. Carlton Gregory Houtz, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1455 E Bert Kouns Loop, Suite # 210, Shreveport, LA 71105
Phone: 318-798-4623    Fax: 318-798-4646
Powell Britain Auer, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1455 E Bert Kouns, Suite #210, Shreveport, LA 71105
Phone: 318-798-4623    Fax: 318-798-4646
Benjamin Marcus Feibel, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1455 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105
Phone: 318-798-4623    
John Marshall Haynie, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Line Ave, Suite 100, Shreveport, LA 71101
Phone: 318-635-3052    Fax: 318-635-3072
Margaret L Olmedo, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1501 Kings Hwy, Department Of Orthopaedics, Shreveport, LA 71103
Phone: 318-675-7737    Fax: 318-675-5666
Stephen L. Cox, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Line Ave, Suite 100, Shreveport, LA 71101
Phone: 318-635-3052    Fax: 318-635-3072

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