Dr Chase Alexander Herrera, DO | |
815 S Pine St, Vivian, LA 71082-3353 | |
(318) 375-3239 | |
(318) 375-2755 |
Full Name | Dr Chase Alexander Herrera |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 815 S Pine St, Vivian, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487282125 | NPI | - | NPPES |
331859 | Other | LA | MEDICAL LICENSE NUMBER |
2522817 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 331859 (Louisiana) | Secondary |
207Q00000X | Family Medicine | 331859 (Louisiana) | Primary |
Entity Name | North Caddo Hospital Service District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326016684 PECOS PAC ID: 4385544584 Enrollment ID: O20040113000307 |
Entity Name | North Caddo Hospital Service District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477798668 PECOS PAC ID: 4385544584 Enrollment ID: O20090424000082 |
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 | Benton Medical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932585841 PECOS PAC ID: 1456669654 Enrollment ID: O20151008001618 |
Entity Name | Blanchard Medical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760089791 PECOS PAC ID: 8325450315 Enrollment ID: O20201216001046 |
Mailing Address | Practice Location Address |
---|---|
Dr Chase Alexander Herrera, DO 815 S Pine St, Vivian, LA 71082-3314 Ph: (183) 375-3235 | Dr Chase Alexander Herrera, DO 815 S Pine St, Vivian, LA 71082-3353 Ph: (318) 375-3239 |
Walker May, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1003 S Spruce St, Ncmc Medical And Surgical Clinic, Vivian, LA 71082 Phone: 318-375-3239 Fax: 318-375-2755 | |
Stephen Glenn Taylor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1003 S Spruce St, Vivian, LA 71082 Phone: 318-375-3239 Fax: 318-375-2953 | |
John Woods, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 815 S Pine St, Vivian, LA 71082 Phone: 318-375-3235 Fax: 318-375-5938 |