Dr Phillip Glenn Allen, MD | |
4950 Essen Ln, Suite A, Baton Rouge, LA 70809-3738 | |
(225) 765-1765 | |
(225) 765-1768 |
Full Name | Dr Phillip Glenn Allen |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 27 Years |
Location | 4950 Essen Ln, Baton Rouge, 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 |
---|---|---|---|
1538150701 | NPI | - | NPPES |
000953994A | Medicaid | GA | |
01173018 | Medicaid | MS | |
2348191 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | 050863 (Georgia) | Secondary |
207Y00000X | Otolaryngology | 050863 (Georgia) | Secondary |
207Y00000X | Otolaryngology | 205859 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Our Lady Of The Lake Physician Group Llc | 4587849781 | 521 |
Entity Name | Our Lady Of The Lake Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
Mailing Address | Practice Location Address |
---|---|
Dr Phillip Glenn Allen, MD 4950 Essen Ln, Suite A, Baton Rouge, LA 70809-3738 Ph: (225) 765-1765 | Dr Phillip Glenn Allen, MD 4950 Essen Ln, Suite A, Baton Rouge, LA 70809-3738 Ph: (225) 765-1765 |
Stanley E. Peters, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 8080 Bluebonnet Blvd, Ste. 2121, Baton Rouge, LA 70810 Phone: 225-767-7200 Fax: 225-767-7386 | |
Collin Blake Sutton, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 8080 Bluebonnet Blvd Ste 2222, Baton Rouge, LA 70810 Phone: 225-408-6900 | |
Dr. Christian A. Hall, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 8585 Picardy Ave, Ste 512, Baton Rouge, LA 70809 Phone: 225-819-1181 Fax: 225-636-5900 | |
Dr. Frank L. Fazio, M.D., F.A.C.S. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 8080 Bluebonnet Blvd Ste 2222, Baton Rouge, LA 70810 Phone: 225-769-2222 Fax: 225-766-2068 | |
Dr. Warner Lee Bruner Iii, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 710 Colonial Dr, Baton Rouge, LA 70806 Phone: 225-927-5325 Fax: 225-927-4150 | |
Kelsey Renee Doguet, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 7373 Perkins Rd, Baton Rouge, LA 70808 Phone: 225-769-4044 Fax: 225-246-9160 | |
Anna Maria Pou, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4950 Essen Ln, Mbperkins, 4th Floor, Suite A, Baton Rouge, LA 70809 Phone: 225-765-1765 Fax: 225-765-1768 |