George Thomas Waterfallen, MD | |
323 West Walnut, Bastrop, LA 71220 | |
(800) 893-9698 | |
Not Available |
Full Name | George Thomas Waterfallen |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 47 Years |
Location | 323 West Walnut, Bastrop, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831123132 | NPI | - | NPPES |
1345598 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 014605 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Louisiana Family Medicine Clinic 1 | 4183889009 | 6 |
Entity Name | Acadia-st. Landry Hospital Service District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518981968 PECOS PAC ID: 3476458092 Enrollment ID: O20031205000219 |
Entity Name | East Carroll Parish Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982695441 PECOS PAC ID: 1153216619 Enrollment ID: O20040216000563 |
Entity Name | Correct Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20040816000150 |
Entity Name | Louisiana Family Medicine Clinic 1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548538200 PECOS PAC ID: 4183889009 Enrollment ID: O20120627000379 |
Entity Name | Evangeline Clinical Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235510280 PECOS PAC ID: 3870805104 Enrollment ID: O20160223000852 |
Mailing Address | Practice Location Address |
---|---|
George Thomas Waterfallen, MD 200 Corporate Blvd, Ste 201, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | George Thomas Waterfallen, MD 323 West Walnut, Bastrop, LA 71220 Ph: (800) 893-9698 |
Chukwudi B Uchendu, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 W Walnut Ave, Bastrop, LA 71220 Phone: 318-283-3600 |