Carolyn Green, | |
1214 Coolidge Street, New Iberia, LA 70507 | |
(337) 289-7172 | |
Not Available |
Full Name | Carolyn Green |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 1214 Coolidge Street, 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 |
---|---|---|---|
1215036298 | NPI | - | NPPES |
1534412 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 12485R (Louisiana) | Primary |
Entity Name | Coolidge Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801140934 PECOS PAC ID: 4880846427 Enrollment ID: O20121206000287 |
Mailing Address | Practice Location Address |
---|---|
Carolyn Green, P O Box 404282, Atlanta, GA 30384 Ph: (770) 874-5400 | Carolyn Green, 1214 Coolidge Street, New Iberia, LA 70507 Ph: (337) 289-7172 |
Dr. Jean Alice Friday, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2315 E Main St, New Iberia, LA 70560 Phone: 337-364-0441 | |
Deeb Sudd, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2315 E Main St, New Iberia, LA 70560 Phone: 337-374-7620 | |
Dr. Ross John Fremin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1115 Center St, New Iberia, LA 70560 Phone: 337-364-5503 Fax: 337-364-5503 | |
Dr. Robert A Lecky Jr., MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 600 N. Lewis Ave, New Iberia, LA 70563 Phone: 337-365-7311 | |
Dr. Stephen James Ritter, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2315 E Main St, New Iberia, LA 70560 Phone: 337-364-0441 Fax: 214-712-2487 | |
Gregory Collins, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 N Lewis St, New Iberia, LA 70563 Phone: 800-893-9698 |