Dr Stephanie B Hanson, MD | |
4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | |
(337) 261-5151 | |
Not Available |
Full Name | Dr Stephanie B Hanson |
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Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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 |
---|---|---|---|
1518954874 | NPI | - | NPPES |
1674095 | Medicaid | LA | |
220031201 | Other | LA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 020858 (Louisiana) | Primary |
Entity Name | The Delta Pathology Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548258973 PECOS PAC ID: 4789639089 Enrollment ID: O20050321000139 |
Mailing Address | Practice Location Address |
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Dr Stephanie B Hanson, MD Po Box 731280, Dallas, TX 75373-1280 Ph: (318) 841-9532 | Dr Stephanie B Hanson, MD 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 Ph: (337) 261-5151 |
Gregg Maurice Barre, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-4640 Fax: 337-470-4051 | |
Dr. Tricia Rood Lowrey, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1810 Bertrand Dr, Lafayette, LA 70506 Phone: 337-233-1899 | |
Dr. Joel Carney, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7679 | |
Joan Grode Marshak, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-521-9113 Fax: 337-261-2697 | |
Dr. Peter Bozner, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7991 | |
Josh Anthony Showalter, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1214 Coolidge Blvd Fl 3, Lafayette, LA 70503 Phone: 337-289-7679 Fax: 337-289-7680 |