Gabriel L Dersam, MD - Medicare Orthopaedic Surgery in Lafayette, LA

Gabriel L Dersam, MD is a medicare enrolled "Orthopaedic Surgery - Pediatric Orthopaedic Surgery" physician in Lafayette, Louisiana. His current practice location is 4704 Ambassador Caffery Pkwy Fl 1, Lafayette, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 470-5920.

Gabriel L Dersam is licensed to practice in Louisiana (license number MD.201862) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487844650.

Contact Information

Gabriel L Dersam, MD
4704 Ambassador Caffery Pkwy Fl 1,
Lafayette, LA 70508-6908
(337) 470-5920
(885) 431-6868



Physician's Profile

Full NameGabriel L Dersam
GenderMale
SpecialityOrthopaedic Surgery - Pediatric Orthopaedic Surgery
Location4704 Ambassador Caffery Pkwy Fl 1, Lafayette, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487844650
  • Provider Enumeration Date: 07/25/2007
  • Last Update Date: 12/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2860585213
  • Enrollment ID: I20080506000465

Medical Identifiers

Medical identifiers for Gabriel L Dersam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487844650NPI-NPPES
1033553MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 103060 (Minnesota)Secondary
207XP3100XOrthopaedic Surgery - Pediatric Orthopaedic Surgery 036136684 (Illinois)Secondary
207XP3100XOrthopaedic Surgery - Pediatric Orthopaedic Surgery MD.201862 (Louisiana)Primary

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. Gabriel L Dersam 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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Entity NameLourdes Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437405883
PECOS PAC ID: 7214177757
Enrollment ID: O20130705000541

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› Verified 2 days ago

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. Gabriel L Dersam 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
Gabriel L Dersam, MD
5959 S Sherwood Forest Blvd,
Baton Rouge, LA 70816-6038

Ph: (225) 526-0474
Gabriel L Dersam, MD
4704 Ambassador Caffery Pkwy Fl 1,
Lafayette, LA 70508-6908

Ph: (337) 470-5920

News Archive

Probiotic bacteria can change intestinal flora of patients with colon cancer, study finds

Living lactic acid bacteria, probiotics, can change the intestinal flora of patients with cancer of the colon. These are the findings of a study published in the journal BMJ Open Gastroenterology.

Researchers aim to develop machine-learning method to better predict risks of organ donation

Organ transplants are a game of odds. Success depends on a number of factors: how old and how healthy the donor is, how old and how healthy the recipient is, how good a biological match can be found, how ready the patient is to receive it.

Scientists unravel complex mechanisms in the brain that regulate body weight

Scientists are one step closer to unraveling the complex mechanisms in the brain that regulate body weight. Working with mice - whose appetites are controlled by systems very similar to those in humans – they have identified a specific type of neuron that is essential for feeding behavior.

Few doctors have implemented, effectively use electronic health records

About one in four physicians use some type of electronic health records, while fewer than one in 10 use a comprehensive EHR system, according to a study that suggests "a technology frequently billed as a way to improve the quality and efficiency of care has yet to win widespread acceptance," the Washington Post reports.

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› Verified 2 days ago


Orthopaedic Surgery Doctors in Lafayette, LA

Otis Rashad Drew, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4212 W Congress St Ste 3100, Lafayette, LA 70506
Phone: 337-703-3201    Fax: 337-703-3202
David Scott Muldowny, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1103 Kaliste Saloom Rd, Suite 102, Lafayette, LA 70508
Phone: 337-234-5234    Fax: 337-235-2121
John Novotny, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 4704 Ambassador Caffery Pkwy Fl 1, Lafayette, LA 70508
Phone: 337-470-5920    Fax: 855-431-6868
Dr. James Barrett Kyle, M.D., D.V.M.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 108 Rue Louis Xiv, Lafayette, LA 70508
Phone: 337-235-8007    Fax: 855-270-5479
Dr. J Hugh Larriviere, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2600 Johnston St, Ste 200, Lafayette, LA 70503
Phone: 337-232-1234    
Brian Edward Etier Jr., M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4212 W Congress St Ste 3100, Lafayette, LA 70506
Phone: 337-703-3201    Fax: 337-703-3202
Dr. Harold J Granger, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4809 Ambassador Caffery Pkwy, Suite 200, Lafayette, LA 70508
Phone: 337-988-8855    Fax: 337-988-8833

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