Charles M Caldwell, MD | |
1020 W Fertitta Blvd, Leesville, LA 71446-4649 | |
(337) 239-9041 | |
(337) 239-5360 |
Full Name | Charles M Caldwell |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 40 Years |
Location | 1020 W Fertitta Blvd, Leesville, 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 |
---|---|---|---|
1528008695 | NPI | - | NPPES |
1722669 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | MD.15763R (Louisiana) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD.15763R (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Byrd Regional Hospital | Leesville, LA | Hospital |
Rapides Regional Medical Center | Alexandria, LA | Hospital |
Christus St Frances Cabrini Hospital | Alexandria, LA | Hospital |
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Byrd Medical Clinic Inc | 2860460508 | 17 |
Entity Name | Glen D. Hurlston, M.d., Apmc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306913488 PECOS PAC ID: 3779557541 Enrollment ID: O20040826000006 |
Entity Name | Byrd Medical Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801895495 PECOS PAC ID: 2860460508 Enrollment ID: O20040921000710 |
Entity Name | Caldwell Radiology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134349319 PECOS PAC ID: 1456365717 Enrollment ID: O20060126000272 |
Entity Name | Joe Hundley Rankin Md A Prof Medical Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740407014 PECOS PAC ID: 9436227477 Enrollment ID: O20081004000060 |
Mailing Address | Practice Location Address |
---|---|
Charles M Caldwell, MD Po Box 4328, Shreveport, LA 71134-0328 Ph: (318) 222-1149 | Charles M Caldwell, MD 1020 W Fertitta Blvd, Leesville, LA 71446-4649 Ph: (337) 239-9041 |
Joe H Rankin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1020 W Fertitta Blvd, Leesville, LA 71446 Phone: 337-239-5148 |