Bennett Fontenot, MD | |
900 E Saint Mary Blvd Ste 104, Lafayette, LA 70503-2378 | |
(337) 504-3640 | |
Not Available |
Full Name | Bennett Fontenot |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 17 Years |
Location | 900 E Saint Mary Blvd Ste 104, 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 |
---|---|---|---|
1033316310 | NPI | - | NPPES |
437739YJRA | Other | LA | PLASTIC AND RECONSTRUCTIVE SURGERY |
2400541 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | LL30088 (South Carolina) | Secondary |
208600000X | Surgery | MD.205820 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lafayette General Medical Center | Lafayette, LA | Hospital |
Entity Name | Lafayette Health Ventures Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417986092 PECOS PAC ID: 9335043074 Enrollment ID: O20041105000263 |
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 | Kenneth L. Odinet, Jr., D.d.s., M.d., Apmc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881972735 PECOS PAC ID: 9638349525 Enrollment ID: O20110901000397 |
Entity Name | University Hospital & Clinics, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639518087 PECOS PAC ID: 7113161977 Enrollment ID: O20130917000335 |
Entity Name | Bennett Boustany Fontenot Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770359952 PECOS PAC ID: 9436502473 Enrollment ID: O20240126000417 |
Mailing Address | Practice Location Address |
---|---|
Bennett Fontenot, MD 104 Fernridge Dr, Lafayette, LA 70508-5444 Ph: (337) 504-6271 | Bennett Fontenot, MD 900 E Saint Mary Blvd Ste 104, Lafayette, LA 70503-2378 Ph: (337) 504-3640 |
Dr. James Sidney Wade Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-289-2000 | |
Dr. Dave J Barrios Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Beaullieu Dr, Bldg 3b, Lafayette, LA 70508 Phone: 337-261-9004 Fax: 337-261-9002 | |
Juan R Paredes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-261-1171 Fax: 337-261-1173 | |
Dr. Safi Haq, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1103 Kaliste Saloom Rd Ste 200, Lafayette, LA 70508 Phone: 337-470-3580 Fax: 337-470-3586 | |
Dr. Christopher E Lagraize, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 129 Rue Louis Xiv, Lafayette, LA 70508 Phone: 337-289-9700 Fax: 337-289-9702 | |
Michelle Anita Bergeron, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-4765 Fax: 337-470-2809 |