| Name (last, first ): | Rice, Ellen W. |
| Degree: | M.D. |
| Title: | Clinical Assistant Professor |
| Department: | Radiology |
| Section: | |
| Status: | Consultant |
| Proctor: | |
| Sex (M,F): | F |
| Pager Number: | |
| Physician ID number: | 111518 |
| NPI Number: | 1497726061 |
LSU Health Sciences Center
Privilege Listing
Rice, Ellen W.
Privilege Code Legend| 01 | A | Acknowledgement of Clinician I understand that: (1) In exercising any clinical privileges granted, I am constrained by any Hospital and Medical Staff policies and rules applicable generally and any applicable to the particular situation. (2)Any restriction on the clinical privileges granted to me is waived in an emergency situation and such situation my actions are governed by the applicable section of the LSUHSCH-S Bylaws of the Medical Staff and the Laws of the State of Louisiana. ______________________________________________________ Date / Applicant's Signature ====================================================================== ***FOR HOSPITAL USE ONLY*** DEPARTMENTAL We have reviewed the delineation of clinical privileges and make the following recommendations: ( ) Approved as Requested ( ) Denied ( ) Approved with Conditions/Modifications ( ) Approved for consultation only Conditions/Modifications: _________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Signature of Department Chairman / Date ______________________________________________________________________________ Signature of Policy Committee Member / Date ______________________________________________________________________________ Signature of Policy Committee Member / Date CRENDENTIALS COMMITTEE: We have reviewed the delineation of clinical privileges and make the following recommendations: ( ) Approved as Requested ( ) Denied ( ) Approved with Conditions/Modifications ( ) Approved for Consultation only Conditions/Modification:_______________________________________________________________ ___________________________________________________________________________ _______________________________________________________ Signature of Credentials Representative / Date _______________________________________________________ Signature of Credentials Representative / Date _______________________________________________________ Signature of Credentials Representative / Date |