Anthony Paul Blalock, MD | |
2804 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | |
(337) 981-5156 | |
(337) 981-0673 |
Full Name | Anthony Paul Blalock |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 21 Years |
Location | 2804 Ambassador Caffery Pkwy, Lafayette, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124037726 | NPI | - | NPPES |
1489131 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 024394 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fmcna - West Lafayette | Lafayette, LA | Dialysis facility |
Fmcna - Sunset | Sunset, LA | Dialysis facility |
Our Lady Of Lourdes Regional Medical Center, Inc | Lafayette, LA | Hospital |
Lafayette General Medical Center | Lafayette, LA | Hospital |
St Martin Hospital | Breaux bridge, LA | Hospital |
Opelousas General Health System | Opelousas, LA | Hospital |
Abbeville General Hospital | Abbeville, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Acadiana Renal Physicians Amc | 5890783070 | 16 |
Louisiana Kidney Update Llc | 9032479548 | 2 |
Entity Name | Our Lady Of Lourdes Regional Medical Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952497489 PECOS PAC ID: 5890683411 Enrollment ID: O20040305000956 |
Entity Name | Acadiana Renal Physicians Amc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992747349 PECOS PAC ID: 5890783070 Enrollment ID: O20040505000949 |
Entity Name | Lsuhn Billing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992975775 PECOS PAC ID: 0446337802 Enrollment ID: O20080409000372 |
Entity Name | Louisiana Kidney Update Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104014349 PECOS PAC ID: 9032479548 Enrollment ID: O20180201000657 |
Mailing Address | Practice Location Address |
---|---|
Anthony Paul Blalock, MD 300 W Saint Mary Blvd, Lafayette, LA 70506-4638 Ph: (337) 233-6593 | Anthony Paul Blalock, MD 2804 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 Ph: (337) 981-5156 |
Dr. Maximo Bienvenido Lamarche, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 300 W Saint Mary Blvd, Lafayette, LA 70506 Phone: 337-233-6593 Fax: 337-235-1032 | |
Dr. John M Rainey, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 501 W Saint Mary Blvd, Lafayette, LA 70506 Phone: 337-235-7898 Fax: 337-235-7445 | |
Cassie Clark, Nephrology Medicare: Medicare Enrolled Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6000 | |
Dr. Corwin Ashford Thomas, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 802 E Farrel Rd, Lafayette, LA 70508 Phone: 337-234-3163 Fax: 337-234-3168 | |
Dr. Matthew Shane Fontenot, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7927 Fax: 337-289-7935 | |
Dr. John Brent Rhodes Jr., M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 439 Heymann Blvd, Lafayette, LA 70503 Phone: 337-269-0963 Fax: 337-269-0553 | |
Leela P. Lakshmiprasad, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: Lsu Medicine Clinic, 2390 W Congress Street, Lafayette, LA 70506 Phone: 337-261-6100 |