Dr Randal Lee Pilgrim, MD | |
1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | |
(800) 893-9698 | |
Not Available |
Full Name | Dr Randal Lee Pilgrim |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1105 Kaliste Saloom Rd, 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 |
---|---|---|---|
1750344248 | NPI | - | NPPES |
1562416 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 13341R (Louisiana) | Primary |
207Q00000X | Family Medicine | 13341R (Louisiana) | Secondary |
Entity Name | Vermilion Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215161096 PECOS PAC ID: 8820148554 Enrollment ID: O20090618000010 |
Mailing Address | Practice Location Address |
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Dr Randal Lee Pilgrim, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: () - | Dr Randal Lee Pilgrim, MD 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 Ph: (800) 893-9698 |
Lance Fogleman, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-501-3698 | |
Dr. Lovelace Joseph Luquette Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 219 Waterford Dr, Lafayette, LA 70503 Phone: 337-984-8910 | |
Dr. Walter Edward Norton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Ruthwood Drive, Lafayette, LA 70503 Phone: 337-406-0390 | |
Braden Conrad Despot, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Travis St Ste 201, Lafayette, LA 70503 Phone: 337-233-9199 Fax: 337-233-9198 | |
Vinay Kumar Juneja, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5000 Ambassador Caffery Pkwy Ste A, Lafayette, LA 70508 Phone: 337-534-0952 | |
Marc Fernandez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 Rue Louis Xiv Bldg 5, Lafayette, LA 70508 Phone: 337-269-7494 | |
Collins T Kgoadi, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506 Phone: 337-981-2949 |