Clarence Whitehead Iii, MD | |
600 N Lewis St, New Iberia, LA 70563-2043 | |
(800) 893-9698 | |
Not Available |
Full Name | Clarence Whitehead Iii |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 600 N Lewis St, 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 |
---|---|---|---|
1326005406 | NPI | - | NPPES |
P00285996 | Other | RAILROAD MEDICARE | |
1683906 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 022961 (Louisiana) | Primary |
207P00000X | Emergency Medicine | 022961 (Louisiana) | Secondary |
Entity Name | Correct Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20040816000150 |
Entity Name | Vermilion Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215161096 PECOS PAC ID: 8820148554 Enrollment ID: O20090618000010 |
Entity Name | Abbeville Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760799290 PECOS PAC ID: 3375731185 Enrollment ID: O20101221000525 |
Entity Name | Concord Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20140930001176 |
Entity Name | Nes Louisiana Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669922431 PECOS PAC ID: 5496651002 Enrollment ID: O20161116002239 |
Entity Name | South Central Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427611854 PECOS PAC ID: 6507195492 Enrollment ID: O20191022002061 |
Mailing Address | Practice Location Address |
---|---|
Clarence Whitehead Iii, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: () - | Clarence Whitehead Iii, MD 600 N Lewis St, New Iberia, LA 70563-2043 Ph: (800) 893-9698 |
William W Harkrider Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 602 N Lewis St, Ste 100, New Iberia, LA 70563 Phone: 337-364-7226 Fax: 337-364-7238 | |
Dr. Jason C Morvant, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4207 E Old Jeanerette Road, New Iberia, LA 70560 Phone: 337-364-7226 | |
Henry Joseph Kaufman Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 N Lewis St, New Iberia, LA 70563 Phone: 800-893-9698 | |
Thomas Aaron Borland, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2312 E Main St, Ste D, New Iberia, LA 70560 Phone: 337-364-0809 Fax: 337-364-0895 | |
Dr. Edward W Dauterive Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 Andre St, New Iberia, LA 70563 Phone: 337-369-9309 Fax: 337-365-8455 | |
Kurt B Obrien, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 602 N Lewis St, Ste 100, New Iberia, LA 70563 Phone: 337-364-7226 Fax: 337-364-7238 |