Covered Entity Details

STD701155 Texas Digestive Disease Consultants (Active) - information as of 5/29/2025 2:03:08 AM

Main Details

Name

Texas Digestive Disease Consultants

Subdivision Name

New Orleans

Type

Sexually Transmitted Diseases

340B ID

STD701155

Grant Number

NH25PS005176

Nature of Support
Please Describe the “in-kind” Support
Time period section 318 funding or in-kind support was received

In-Kind products or services (see note below; must have been purchased with section 318 funds)
Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.
Test Kits, Testing Supplies, Lab services
1/1/2024

Additional Details

Current Program Status

Active

Registration Date

1/14/2024

Participating Start Date

4/1/2024

Participating Approval Date

3/7/2024

Last Recertification Date

5/17/2024

Notice of Funding Opportunity (NOFO) Number

PS19-1901

Contacts

Authorizing Official

TDDC
Gary Michael Reiss, MD
(415) 260-0370

Primary Contact

TDDC
Daina Manuel, Business Manager
(504) 349-6401

Addresses

Street Address

2820 Napoleon Avenue
Suite 720
New Orleans, LA 70115

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Last Updated On
Contract Detail	AVITA PHARMACY 1037	AVITA DRUGS LLC-NOLA D/B/A AVITA PHARMAC	2519 CANAL ST	NEW ORLEANS	LA	70119	03/07/2024	04/01/2024	04/01/2024
Contract Detail	AVITA PHARMACY 1038	AVITA DRUGS LLC-NOLA 2 D/B/A AVITA PHARM	3308 TULANE AVE STE 102	NEW ORLEANS	LA	70119-7170	03/07/2024	04/01/2024	04/01/2024
Contract Detail	AVITA PHARMACY 1039	1631 ELYSIAN FIELDS AVE STE 200		NEW ORLEANS	LA	70117-8208	03/07/2024	04/01/2024	04/01/2024
Contract Detail	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	03/07/2024	04/01/2024	04/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Main Address	Update	Recertification	2820 Napoleon Avenue 720 New Orleans, LA 70115	2820 Napoleon Avenue Suite 720 New Orleans, LA 70115	5/17/2024 1:13 PM
Details	Nature of Support: Support Received To Date	Update	Recertification	12/31/2024 12:00:00 AM		5/17/2024 1:13 PM
Details	Last Recertification Date	Update	Recertification		5/17/2024 1:13:16 PM	5/17/2024 1:13 PM
Details	State	Update		Approved	Active	4/1/2024 12:01 AM
Contacts	Signed By	Insert	New Registration		Reiss, Gary Michael MD TDDC 4152600370	3/7/2024 12:55 PM
Details	340B ID	Update	New Registration		STD701155	3/7/2024 12:55 PM
Dates	Participating Approval Date	Update	New Registration		3/7/2024 12:55:56 PM	3/7/2024 12:55 PM
Details	State	Update	New Registration	Pending	Approved	3/7/2024 12:55 PM
Dates	Signed By Date	Update	New Registration		1/14/2024 8:19:37 PM	3/7/2024 12:55 PM
Dates	Start Date	Update	New Registration		4/1/2024 12:00:00 AM	3/7/2024 12:55 PM
Addresses	Main Address	Insert	New Registration		2820 Napoleon Avenue 720 New Orleans, LA 70115	1/14/2024 8:19 PM
Details	Nature of Support: In Kind Support Description	Insert	New Registration		Test Kits, Testing Supplies, Lab services	1/14/2024 8:19 PM
Details	Nature Of Support	Insert	New Registration		In-Kind products or services (see note below; must have been purchased with section 318 funds)	1/14/2024 8:19 PM
Details	Nature of Support: Support Received From Date	Insert	New Registration		1/1/2024 12:00:00 AM	1/14/2024 8:19 PM
Details	Nature of Support: Support Received To Date	Insert	New Registration		12/31/2024 12:00:00 AM	1/14/2024 8:19 PM
Contacts	Authorizing Official	Insert	New Registration		Reiss, Gary Michael MD TDDC 4152600370	1/14/2024 8:19 PM
Contacts	Primary Contact	Insert	New Registration		Manuel, Daina Business Manager TDDC 5043496401	1/14/2024 8:19 PM
Details	Assistance Received From Date	Insert	New Registration			1/14/2024 8:19 PM
Details	Assistance Received To Date	Insert	New Registration			1/14/2024 8:19 PM
Details	Last Recertification Date	Insert	New Registration			1/14/2024 8:19 PM
Details	Grant Number	Insert	New Registration		NH25PS005176	1/14/2024 8:19 PM
Details	340B ID	Insert	New Registration			1/14/2024 8:19 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			1/14/2024 8:19 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			1/14/2024 8:19 PM
Details	Medicare Provider Number	Insert	New Registration			1/14/2024 8:19 PM
Details	Entity Name	Insert	New Registration		Texas Digestive Disease Consultants	1/14/2024 8:19 PM
Details	NOFO Number	Insert	New Registration		PS19-1901	1/14/2024 8:19 PM
Details	Program Code	Insert	New Registration		STD	1/14/2024 8:19 PM
Details	Entity Subname	Insert	New Registration		New Orleans	1/14/2024 8:19 PM
Dates	Participating Approval Date	Insert	New Registration			1/14/2024 8:19 PM
Details	State	Insert	New Registration		Pending	1/14/2024 8:19 PM
Dates	Registration Date	Insert	New Registration		1/14/2024 8:19:32 PM	1/14/2024 8:19 PM
Dates	Signed By Date	Insert	New Registration			1/14/2024 8:19 PM
Dates	Start Date	Insert	New Registration			1/14/2024 8:19 PM
Terminations	Termination Comments	Insert	New Registration			1/14/2024 8:19 PM
Terminations	Termination Date	Insert	New Registration			1/14/2024 8:19 PM
Terminations	Termination Effective Date	Insert	New Registration			1/14/2024 8:19 PM
Terminations	Termination Reason	Insert	New Registration			1/14/2024 8:19 PM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History