James P Gutheil, MD | |
4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | |
(225) 765-5500 | |
(225) 765-5543 |
Full Name | James P Gutheil |
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Gender | Male |
Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
Location | 4704 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 |
---|---|---|---|
1497790414 | NPI | - | NPPES |
150507103 | Other | TX | FIRSTCARE |
8BS953 | Other | TX | BCBS |
69435278 | Medicaid | NM | |
160449807 | Medicaid | TX |
Entity Name | Legacy Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Mailing Address | Practice Location Address |
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James P Gutheil, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 765-5500 | James P Gutheil, MD 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 Ph: (225) 765-5500 |
Otis Rashad Drew, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4212 W Congress St Ste 3100, Lafayette, LA 70506 Phone: 337-703-3201 Fax: 337-703-3202 | |
David Scott Muldowny, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1103 Kaliste Saloom Rd, Suite 102, Lafayette, LA 70508 Phone: 337-234-5234 Fax: 337-235-2121 | |
John Novotny, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4704 Ambassador Caffery Pkwy Fl 1, Lafayette, LA 70508 Phone: 337-470-5920 Fax: 855-431-6868 | |
Dr. Julio Petilon, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 Patriot St, Lafayette, LA 70508 Phone: 337-981-2125 Fax: 337-981-2174 | |
Dr. James Barrett Kyle, M.D., D.V.M. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 108 Rue Louis Xiv, Lafayette, LA 70508 Phone: 337-235-8007 Fax: 855-270-5479 | |
Dr. J Hugh Larriviere, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2600 Johnston St, Ste 200, Lafayette, LA 70503 Phone: 337-232-1234 | |
Thomas T Wood, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 108 Rue Louis Xiv, Lafayette, LA 70508 Phone: 337-235-8007 Fax: 337-235-8008 |