Dr Russell T Phelps, DO | |
4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | |
(337) 521-9100 | |
(337) 470-2019 |
Full Name | Dr Russell T Phelps |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 4600 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 |
---|---|---|---|
1356337422 | NPI | - | NPPES |
1481122 | Medicaid | LA | |
102762501 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | K8421 (Texas) | Secondary |
207V00000X | Obstetrics & Gynecology | 303334 (Louisiana) | Primary |
Entity Name | Lourdes Physician Group Llc |
---|---|
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 |
---|---|
Dr Russell T Phelps, DO 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (337) 521-9100 | Dr Russell T Phelps, DO 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 Ph: (337) 521-9100 |
Monique Michelle Monteilh, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4640 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-984-1050 Fax: 337-984-8776 | |
Mika Marlaine King, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4640 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-984-1050 Fax: 337-984-8776 | |
Francis J Cardinale, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-521-9100 Fax: 337-470-2019 | |
Dr. Virginia S Singleton-alfred, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-521-9100 Fax: 337-470-2019 | |
Mr. Charles E. Padgett, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1211 Coolidge Street, Suite 405, Lafayette, LA 70503 Phone: 337-233-7524 Fax: 337-233-7567 | |
Perry Scott Barrilleaux, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4630 Ambassador Caffery Pkwy, Suite 204, Lafayette, LA 70508 Phone: 337-989-9826 | |
John Michael Storment, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 206 E Farrel Road, Lafayette, LA 70508 Phone: 337-989-8795 Fax: 337-989-8766 |