Dr Kenneth W Falterman, MD | |
4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | |
(337) 470-5920 | |
(337) 371-3160 |
Full Name | Dr Kenneth W Falterman |
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Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 4704 Ambassador Caffery Pkwy, Lafayette, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427080738 | NPI | - | NPPES |
1195197 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 011745 (Louisiana) | Primary |
Entity Name | Our Lady Of The Lake Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
Entity Name | Lourdes Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437405883 PECOS PAC ID: 7214177757 Enrollment ID: O20130705000541 |
Mailing Address | Practice Location Address |
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Dr Kenneth W Falterman, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 765-5727 | Dr Kenneth W Falterman, MD 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 Ph: (337) 470-5920 |
Bennett Fontenot, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 E Saint Mary Blvd Ste 104, Lafayette, LA 70503 Phone: 337-504-3640 | |
Dr. James Sidney Wade Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-289-2000 | |
Dr. Dave J Barrios Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Beaullieu Dr, Bldg 3b, Lafayette, LA 70508 Phone: 337-261-9004 Fax: 337-261-9002 | |
Juan R Paredes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-261-1171 Fax: 337-261-1173 | |
Dr. Safi Haq, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1103 Kaliste Saloom Rd Ste 200, Lafayette, LA 70508 Phone: 337-470-3580 Fax: 337-470-3586 | |
Dr. Christopher E Lagraize, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 129 Rue Louis Xiv, Lafayette, LA 70508 Phone: 337-289-9700 Fax: 337-289-9702 | |
Michelle Anita Bergeron, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-4765 Fax: 337-470-2809 |