Dr Alfred Mathew Fogarty Jr, MD | |
823 W California Ave, Ruston, LA 71270-4981 | |
(318) 251-9458 | |
(318) 251-9904 |
Full Name | Dr Alfred Mathew Fogarty Jr |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 32 Years |
Location | 823 W California Ave, Ruston, 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 |
---|---|---|---|
1386746113 | NPI | - | NPPES |
022800 | Other | LA | CDS |
MD021829 | Other | LA | MEDICAL LICENSE NUMBER |
1661759 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD021829 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Los Angeles County Department Of Mental Health | 7416869896 | 247 |
Entity Name | Los Angeles County Department Of Mental Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319 |
Entity Name | Santa Barbara County County Auditor |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487857405 PECOS PAC ID: 9335052083 Enrollment ID: O20081226000157 |
Mailing Address | Practice Location Address |
---|---|
Dr Alfred Mathew Fogarty Jr, MD 3109 English Turn, Ruston, LA 71270-2670 Ph: (318) 548-0315 | Dr Alfred Mathew Fogarty Jr, MD 823 W California Ave, Ruston, LA 71270-4981 Ph: (318) 251-9458 |
Dr. Edward Patrick Lynam, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1508 Cooktown Rd, #8, Ruston, LA 71270 Phone: 775-354-8271 Fax: 775-354-8271 | |
Herbert F Vandenberg, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 615 S Trenton St, Ruston, LA 71270 Phone: 318-251-2322 Fax: 318-251-0710 | |
Mr. Michael E Ehrlich, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-3690 | |
Gerald Melvin Robertson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 904 Deville Ln, Ruston, LA 71270 Phone: 318-255-5020 Fax: 318-255-6623 |