Dr Llewellyn Simon, MD | |
320 N Hood St, Lake Providence, LA 71254-2140 | |
(318) 559-2404 | |
(318) 559-2430 |
Full Name | Dr Llewellyn Simon |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 34 Years |
Location | 320 N Hood St, Lake Providence, Louisiana |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063494128 | NPI | - | NPPES |
11828R | Other | LA | STATE LICENSE |
1680893 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 11828R (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trucare Home Health, Llc | Monroe, LA | Home health agency |
Primestar Home Health Inc | Tallulah, LA | Home health agency |
East Carroll Parish Hospital | Lake providence, LA | Hospital |
St Francis Medical Center | Monroe, LA | Hospital |
Richland Parish Hospital-delhi | Delhi, LA | Hospital |
Chicot Memorial Medical Center | Lake village, AR | Hospital |
Shady Lake Nursing Home | Lake providence, LA | Nursing home |
Carroll Health And Rehab Llc | Oak grove, LA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Carroll Parish Hospital | 1153216619 | 12 |
Entity Name | East Carroll Parish Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982695441 PECOS PAC ID: 1153216619 Enrollment ID: O20040216000563 |
Entity Name | Hni Medical Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366735169 PECOS PAC ID: 6406028810 Enrollment ID: O20141118000854 |
Mailing Address | Practice Location Address |
---|---|
Dr Llewellyn Simon, MD 320 N Hood St, Lake Providence, LA 71254-2140 Ph: (318) 559-2404 | Dr Llewellyn Simon, MD 320 N Hood St, Lake Providence, LA 71254-2140 Ph: (318) 559-2404 |
George Fakhre, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 N Hood, Lake Providence, LA 71254 Phone: 318-559-1221 |