Lance Fogleman, | |
1214 Coolidge Blvd, Lafayette, LA 70503-2621 | |
(337) 501-3698 | |
Not Available |
Full Name | Lance Fogleman |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 12 Years |
Location | 1214 Coolidge Blvd, Lafayette, 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 |
---|---|---|---|
1033476379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD207073 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lafayette General Medical Center | Lafayette, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Coolidge Emergency Group Llc | 4880846427 | 20 |
Entity Name | Ambassador Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316030844 PECOS PAC ID: 9537168901 Enrollment ID: O20061212000516 |
Entity Name | Acadiana Acute Care Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255566626 PECOS PAC ID: 0547390056 Enrollment ID: O20100610000065 |
Entity Name | Coolidge Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801140934 PECOS PAC ID: 4880846427 Enrollment ID: O20121206000287 |
Entity Name | Crowley Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508275538 PECOS PAC ID: 1456572965 Enrollment ID: O20141027002233 |
Mailing Address | Practice Location Address |
---|---|
Lance Fogleman, 517 E Demanade Dr, Lafayette, LA 70503-2551 Ph: (337) 501-3698 | Lance Fogleman, 1214 Coolidge Blvd, Lafayette, LA 70503-2621 Ph: (337) 501-3698 |
Dr. Lovelace Joseph Luquette Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 219 Waterford Dr, Lafayette, LA 70503 Phone: 337-984-8910 | |
Dr. Walter Edward Norton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Ruthwood Drive, Lafayette, LA 70503 Phone: 337-406-0390 | |
Braden Conrad Despot, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Travis St Ste 201, Lafayette, LA 70503 Phone: 337-233-9199 Fax: 337-233-9198 | |
Vinay Kumar Juneja, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5000 Ambassador Caffery Pkwy Ste A, Lafayette, LA 70508 Phone: 337-534-0952 | |
Marc Fernandez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 Rue Louis Xiv Bldg 5, Lafayette, LA 70508 Phone: 337-269-7494 | |
Collins T Kgoadi, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506 Phone: 337-981-2949 |