Matthew Quinn Ezernack, in Lake Charles, LA - Medicare Physical Medicine & Rehabilitation

Matthew Quinn Ezernack, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Lake Charles, Louisiana. His current practice location is 4080 Nelson Rd Ste 500, Lake Charles, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 494-7546.

Matthew Quinn Ezernack is licensed to practice in Louisiana (license number 11530) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912699547.

Contact Information

	Matthew Quinn Ezernack,
	4080 Nelson Rd Ste 500, Lake Charles, LA 70605-2440
	(337) 494-7546
	Not Available

Map and Direction

Physician's Profile

Full Name	Matthew Quinn Ezernack
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	4080 Nelson Rd Ste 500, Lake Charles, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912699547
Provider Enumeration Date: 05/23/2023
Last Update Date: 05/23/2023

Medicare PECOS Information:

PECOS PAC ID: 7911367776
Enrollment ID: I20230712002986

Medical Identifiers

Medical identifiers for Matthew Quinn Ezernack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912699547	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	11530 (Louisiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Matthew Quinn Ezernack allows following entities to bill medicare on his behalf.

Entity Name	Action Potential Physical Therapy Inc
Entity Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Entity Identifiers	NPI Number: 1396800587 PECOS PAC ID: 9436381811 Enrollment ID: O20140417001421

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Matthew Quinn Ezernack is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Matthew Quinn Ezernack, 2923 Summer Place Dr, Sulphur, LA 70663-0758 Ph: (337) 309-0925	Matthew Quinn Ezernack, 4080 Nelson Rd Ste 500, Lake Charles, LA 70605-2440 Ph: (337) 494-7546

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Lake Charles, LA

Ms. Freddie Ann Regan, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3221 Ryan St, Suite D, Lake Charles, LA 70601 Phone: 337-439-3344 Fax: 337-439-3380
Delaina Darby Guthrie, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3221 Ryan St Ste D, Lake Charles, LA 70601 Phone: 337-439-3344 Fax: 337-439-3380
Brandon Soileau, PT, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4080 Nelson Rd Ste 500, Lake Charles, LA 70605 Phone: 337-494-7546 Fax: 337-494-7548
Dr. Craig G Morton, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1747 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-721-7236 Fax: 337-721-7295
Cheryl Brockmeier, MPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4190 Gerstner Memorial Dive, Lake Charles, LA 70607 Phone: 337-240-9730
Mrs. Kim B Anderson, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1717 E Prien Lake Rd, Suite 1, Lake Charles, LA 70601 Phone: 337-478-5880 Fax: 337-478-5879
Lauren Soileau, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3601 Gerstner Memorial Blvd, Lake Charles, LA 70607 Phone: 337-475-9500

Matthew Quinn Ezernack, - Medicare Physical Medicine & Rehabilitation in Lake Charles, LA