Mahmoud Tayseer Agrama, MD | |
200 Corporate Boulevard, Suite 201, Lafayette, LA 70508 | |
(800) 893-9698 | |
Not Available |
Full Name | Mahmoud Tayseer Agrama |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 200 Corporate Boulevard, 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 |
---|---|---|---|
1376506816 | NPI | - | NPPES |
1468673 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 15519R (Louisiana) | Primary |
Entity Name | Acadia-st. Landry Hospital Service District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518981968 PECOS PAC ID: 3476458092 Enrollment ID: O20031205000219 |
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 | Vermilion Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215161096 PECOS PAC ID: 8820148554 Enrollment ID: O20090618000010 |
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 | Rapid Urgent Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285970780 PECOS PAC ID: 0840437174 Enrollment ID: O20130506000203 |
Mailing Address | Practice Location Address |
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Mahmoud Tayseer Agrama, MD P.o. Box 1403, Broussard, LA 70518-6151 Ph: (337) 577-6196 | Mahmoud Tayseer Agrama, MD 200 Corporate Boulevard, Suite 201, Lafayette, LA 70508 Ph: (800) 893-9698 |
Dr. Maximo Bienvenido Lamarche, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 W Saint Mary Blvd, Lafayette, LA 70506 Phone: 337-233-6593 Fax: 337-235-1032 | |
Dr. John M Rainey, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 501 W Saint Mary Blvd, Lafayette, LA 70506 Phone: 337-235-7898 Fax: 337-235-7445 | |
Cassie Clark, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6000 | |
Dr. Corwin Ashford Thomas, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 802 E Farrel Rd, Lafayette, LA 70508 Phone: 337-234-3163 Fax: 337-234-3168 | |
Dr. Matthew Shane Fontenot, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7927 Fax: 337-289-7935 | |
Dr. John Brent Rhodes Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 439 Heymann Blvd, Lafayette, LA 70503 Phone: 337-269-0963 Fax: 337-269-0553 | |
Leela P. Lakshmiprasad, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Lsu Medicine Clinic, 2390 W Congress Street, Lafayette, LA 70506 Phone: 337-261-6100 |