Dr Vincent Cody Godinich, MD | |
1525 Oak Park Blvd, Lake Charles, LA 70601-8849 | |
(374) 943-2023 | |
(337) 430-6966 |
Full Name | Dr Vincent Cody Godinich |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1525 Oak Park Blvd, Lake Charles, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588292049 | NPI | - | NPPES |
2524879 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 337011 (Louisiana) | Primary |
Entity Name | Centerwell Senior Primary Care La Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760005136 PECOS PAC ID: 1951712280 Enrollment ID: O20210217000212 |
Mailing Address | Practice Location Address |
---|---|
Dr Vincent Cody Godinich, MD 512 Wilson Rd, Harleton, TX 75651-4126 Ph: (903) 407-2605 | Dr Vincent Cody Godinich, MD 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 Ph: (374) 943-2023 |
Dr. Benjamin Bryce Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 771 E Bayou Pines Dr, Lake Charles, LA 70601 Phone: 337-433-1212 Fax: 337-433-0736 | |
Dr. Michael Kevin Seep, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-480-8900 Fax: 337-480-8901 | |
Dr. Melissa Lalande Rasberry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1920 W Sale Rd, Bldg F, Suite 2, Lake Charles, LA 70605 Phone: 337-474-2856 Fax: 337-480-0645 | |
Micah Leleux, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 217 Sam Houston Jones Pkwy Ste 104, Lake Charles, LA 70611 Phone: 337-480-8989 Fax: 337-480-8988 | |
Kira Racine Groves, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-480-8900 Fax: 337-480-8901 | |
Dr. Jason P Hagen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Walters St, Lake Charles, LA 70607 Phone: 337-480-8066 Fax: 337-480-8061 | |
Clint Nickolas Lincoln, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10071 Gulf Hwy, Lake Charles, LA 70607 Phone: 337-905-2151 Fax: 337-905-2154 |