Dawn Zitman, MD | |
1937 S Burnside Ave, Gonzales, LA 70737-4632 | |
(225) 765-5500 | |
(225) 644-9286 |
Full Name | Dawn Zitman |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1937 S Burnside Ave, Gonzales, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720078603 | NPI | - | NPPES |
1465607 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 15761R (Louisiana) | Primary |
Entity Name | Our Lady Of The Lake Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
Mailing Address | Practice Location Address |
---|---|
Dawn Zitman, MD 1937 S Burnside Ave, Gonzales, LA 70737-4632 Ph: (225) 765-5500 | Dawn Zitman, MD 1937 S Burnside Ave, Gonzales, LA 70737-4632 Ph: (225) 765-5500 |
Dr. Brittany Alexis Landry, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2400 S Burnside Ave, Gonzales, LA 70737 Phone: 225-761-5200 Fax: 225-709-6425 | |
Cammie A Hilliard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1937 S Burnside Ave, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-644-9286 | |
Leyamma Mathew, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 721 E Highway 30, Gonzales, LA 70737 Phone: 225-644-7337 Fax: 225-644-5202 | |
Mrs. Allison Renee Dupuis Prevost, M. D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2647 S Saint Elizabeth Blvd Ste 320, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-647-5093 | |
Sarah Wilks, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1702 N Burnside Ave Ste C, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-644-0341 | |
Tracy Wallace, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1937 S Burnside Ave, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-644-9286 |