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

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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 NameMatthew Quinn Ezernack
GenderMale
SpecialityPhysical Medicine & Rehabilitation
Location4080 Nelson Rd Ste 500, Lake Charles, Louisiana
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1912699547NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical 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 NameThibodeaux Albro & Touchet Therapy Group Llc
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1104973262
PECOS PAC ID: 7719081801
Enrollment ID: O20070329000354
Entity NameSouthwest Louisiana Sports And Rehabilitation Center, Llc
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1841357761
PECOS PAC ID: 5890854434
Enrollment ID: O20081111000513
Entity NameIowa Therapy Group, Llc
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1578617924
PECOS PAC ID: 9133288772
Enrollment ID: O20081111000542
Entity NameCalcasieu Therapy Group Llc
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1487085320
PECOS PAC ID: 8325270358
Enrollment ID: O20140407000525
Entity NameAction Potential Physical Therapy Inc
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1396800587
PECOS PAC ID: 9436381811
Enrollment ID: O20140417001421
Entity NameLake Charles Sports & Rehab
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1194301317
PECOS PAC ID: 2961802293
Enrollment ID: O20210608003132

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 AddressPractice 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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.