Dr Michael Wayne Fontenot Jr, DC | |
800 W Main St, New Iberia, LA 70560-3536 | |
(337) 367-2567 | |
Not Available |
Full Name | Dr Michael Wayne Fontenot Jr |
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Gender | Male |
Speciality | Chiropractor |
Location | 800 W Main St, New Iberia, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225455843 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1634 (Louisiana) | Primary |
111N00000X | Chiropractor | 11411 (Texas) | Secondary |
Provider Name | Virgil Bryant Management |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609186626 PECOS PAC ID: 2860675444 Enrollment ID: O20110318000452 |
Provider Name | Bryant Medical Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184112450 PECOS PAC ID: 5890049225 Enrollment ID: O20181121000282 |
Mailing Address | Practice Location Address |
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Dr Michael Wayne Fontenot Jr, DC 800 W Main St, New Iberia, LA 70560-3536 Ph: (337) 367-2567 | Dr Michael Wayne Fontenot Jr, DC 800 W Main St, New Iberia, LA 70560-3536 Ph: (337) 367-2567 |
Dr. Jeremy Broussard, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 612 Rue De Onetta, New Iberia, LA 70563 Phone: 337-367-6649 | |
Dr. Jake M Gary, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1833 E Main St, New Iberia, LA 70560 Phone: 337-367-7463 Fax: 337-367-7461 | |
Mr. Timothy John Rose, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 405 N Lewis St, New Iberia, LA 70563 Phone: 337-364-2225 | |
Darby Chiropractic Apc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 221 N Lewis St, New Iberia, LA 70563 Phone: 337-364-6543 Fax: 337-364-6564 | |
Dr. Tony Lee Oberle, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 715 N Lewis St, Suite A, New Iberia, LA 70563 Phone: 337-364-6552 | |
Dr. Tina M Theriot, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 612 Rue De Onetta, New Iberia, LA 70563 Phone: 337-367-6649 Fax: 888-354-5793 |