Manley Mcrae Jordan, MD | |
2770 3rd Ave, Suite 110, Lake Charles, LA 70601-8994 | |
(337) 494-2750 | |
(337) 494-2760 |
Full Name | Manley Mcrae Jordan |
---|---|
Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 2770 3rd Ave, Lake Charles, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932118296 | NPI | - | NPPES |
P00221352 | Other | LA | RAILROAD MEDICARE |
1468444 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 017837 (Louisiana) | Primary |
Entity Name | Lcms Pulmonary Associates Of Southwest Louisiana |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508175704 PECOS PAC ID: 0446439939 Enrollment ID: O20110131000436 |
Mailing Address | Practice Location Address |
---|---|
Manley Mcrae Jordan, MD Po Box 122309, Dept 2309, Dallas, TX 75312-2309 Ph: (337) 494-2919 | Manley Mcrae Jordan, MD 2770 3rd Ave, Suite 110, Lake Charles, LA 70601-8994 Ph: (337) 494-2750 |
Robin Ann Rougeau, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 555 South Ryan St, #101, Lake Charles, LA 70601 Phone: 337-439-0762 Fax: 337-436-8862 | |
Dr. Jean King White, MD Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 1717 Oak Park Blvd Fl 2, Lake Charles, LA 70601 Phone: 337-494-3278 Fax: 337-494-3240 | |
Dr. William R Condos Jr., M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1717 Oak Park Blvd, Fl 2, Lake Charles, LA 70601 Phone: 337-494-3278 Fax: 337-494-3240 | |
Dr. Leroy E Fredericks, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2770 3rd Ave Ste 210, Lake Charles, LA 70601 Phone: 337-494-6768 Fax: 337-494-6792 | |
Gerald W Byrd, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-433-7350 | |
Dr. Eric Charles Fontenot, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2770 3rd Ave Ste 345, Lake Charles, LA 70601 Phone: 337-494-4785 Fax: 337-494-4786 | |
Francisco Jose Marrero, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2770 3rd Ave Ste 345, Lake Charles, LA 70601 Phone: 337-494-4785 Fax: 337-494-4786 |