Dr Ewell Bickham Iii, | |
5266 Commerce St, Saint Francisville, LA 70775-4409 | |
(225) 635-2436 | |
(225) 635-2435 |
Full Name | Dr Ewell Bickham Iii |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 5266 Commerce St, Saint Francisville, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073565370 | NPI | - | NPPES |
1490342 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 022207 (Louisiana) | Secondary |
207P00000X | Emergency Medicine | MD.022207 (Louisiana) | Primary |
Entity Name | Jena Ess Hospitalist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144635020 PECOS PAC ID: 5294954533 Enrollment ID: O20140918000317 |
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 | Concord North Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952761173 PECOS PAC ID: 2860791688 Enrollment ID: O20170922000452 |
Entity Name | Saline Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114481769 PECOS PAC ID: 1153662598 Enrollment ID: O20190411000953 |
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 |
---|---|
Dr Ewell Bickham Iii, Po Box 368, Saint Francisville, LA 70775-0368 Ph: (225) 635-3811 | Dr Ewell Bickham Iii, 5266 Commerce St, Saint Francisville, LA 70775-4409 Ph: (225) 635-2436 |