Dr Philip Paulk, MD | |
801 Poinciana Ave, Mamou, LA 70554-2243 | |
(225) 803-6707 | |
Not Available |
Full Name | Dr Philip Paulk |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 21 Years |
Location | 801 Poinciana Ave, Mamou, 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 |
---|---|---|---|
1679510184 | NPI | - | NPPES |
1057703 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 199960 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Terrebonne General Medical Center | Houma, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physician Practice Partners | 4183909740 | 81 |
Entity Name | South Louisiana Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942301379 PECOS PAC ID: 8527968650 Enrollment ID: O20040113000589 |
Entity Name | Foucher Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871879007 PECOS PAC ID: 8729254073 Enrollment ID: O20120109000197 |
Entity Name | St Tammany Emergency Physicians Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891187654 PECOS PAC ID: 7214255967 Enrollment ID: O20150409001843 |
Entity Name | Thibodaux Emergency Physicians Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568910503 PECOS PAC ID: 2769760537 Enrollment ID: O20161028001769 |
Entity Name | Physician Practice Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326598434 PECOS PAC ID: 4183909740 Enrollment ID: O20170321002664 |
Entity Name | East Jefferson Emergency Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639684061 PECOS PAC ID: 8325307937 Enrollment ID: O20180110000039 |
Mailing Address | Practice Location Address |
---|---|
Dr Philip Paulk, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Philip Paulk, MD 801 Poinciana Ave, Mamou, LA 70554-2243 Ph: (225) 803-6707 |