Freddie Joseph Fandal Jr, MD is a medicare enrolled "Family Medicine" physician in Port Barre, Louisiana. His current practice location is
17695 Hwy 190, Port Barre, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(337) 585-7898.
Freddie Joseph Fandal Jr is licensed to practice in Louisiana (license number 024781) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538128285.
Physician's Profile
Full Name | Freddie Joseph Fandal Jr |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 17695 Hwy 190, Port Barre, Louisiana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Freddie Joseph Fandal Jr attended and graduated from in
NPI Data:
- NPI Number: 1538128285
- Provider Enumeration Date: 03/21/2006
- Last Update Date: 12/08/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Freddie Joseph Fandal Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538128285 | NPI | - | NPPES |
080164292 | Other | LA | RR MEDICARE |
1430692 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 024781 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Freddie Joseph Fandal Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Freddie Joseph Fandal Jr, MD Po Box 1338, Port Barre, LA 70577 Ph: (337) 585-7898 | Freddie Joseph Fandal Jr, MD 17695 Hwy 190, Port Barre, LA 70577 Ph: (337) 585-7898 |
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