Amanda Susan Ellington, MD | |
2770 3rd Ave Ste 120, Lake Charles, LA 70601-8994 | |
(337) 494-4868 | |
(337) 494-4870 |
Full Name | Amanda Susan Ellington |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 17 Years |
Location | 2770 3rd Ave Ste 120, Lake Charles, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023219110 | NPI | - | NPPES |
1099791 | Medicaid | LA | |
MD.203251 | Other | LA | STATE MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 203251 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jeff Davis Md Homecare | Jennings, LA | Home health agency |
Lake Charles Memorial Hospital | Lake charles, LA | Hospital |
Christus Ochsner Lake Area Hospital | Lake charles, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lcms Surgical Associates Of Southwest Lousiana, Llc | 8820113780 | 7 |
Entity Name | Lsuhn Billing Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992975775 PECOS PAC ID: 0446337802 Enrollment ID: O20080409000372 |
Entity Name | Lcms Surgical Associates Of Southwest Lousiana, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407168032 PECOS PAC ID: 8820113780 Enrollment ID: O20100915000594 |
Entity Name | Surgical Hospital Management System Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043595804 PECOS PAC ID: 1355584806 Enrollment ID: O20130830000513 |
Mailing Address | Practice Location Address |
---|---|
Amanda Susan Ellington, MD P.o. Box 122342 Dept 2342, Lake Charles, LA 70601 Ph: (337) 494-2921 | Amanda Susan Ellington, MD 2770 3rd Ave Ste 120, Lake Charles, LA 70601-8994 Ph: (337) 494-4868 |
Dr. Thomas Howard Mccalla, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 816 W Bayou Pines Dr, Lake Charles, LA 70601 Phone: 337-439-8588 Fax: 337-439-0808 | |
Andrew Lee Foret, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1747 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-721-7236 Fax: 337-721-7237 | |
Ralph W Colpitts, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 215 W Prien Lake Rd, Lake Charles, LA 70601 Phone: 337-502-8706 Fax: 377-210-1271 | |
Justin William Rudd, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-312-8762 Fax: 337-312-8044 | |
Dr. Thomas M Rossowski, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-477-7500 Fax: 337-477-7570 | |
John Lucas Cocchiara, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1739 Ryan St, Lake Charles, LA 70601 Phone: 337-439-9419 Fax: 337-491-9577 |