Mr Jeffrey H Lacourse, DO | |
201 E Grover St, Shelby, NC 28150-3917 | |
(980) 487-3678 | |
(980) 487-3294 |
Full Name | Mr Jeffrey H Lacourse |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 201 E Grover St, Shelby, North Carolina |
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 |
---|---|---|---|
1578565032 | NPI | - | NPPES |
1578565032 | Medicaid | NC | |
5905709 | Medicaid | NC | |
N01936 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 215918 (New York) | Secondary |
207R00000X | Internal Medicine | 2006-01936 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Caromont Regional Medical Center | Gastonia, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Caromont Medical Group Inc | 3577476258 | 347 |
Entity Name | Caromont Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeffrey H Lacourse, DO Po Box 601643, Charlotte, NC 28260-1643 Ph: (980) 487-3678 | Mr Jeffrey H Lacourse, DO 201 E Grover St, Shelby, NC 28150-3917 Ph: (980) 487-3678 |
Renee B. Melton-smith, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 Schenck St, Ste 2, Shelby, NC 28150 Phone: 980-487-2540 | |
Kyle Anthony Aldinger, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 N Dekalb St, Shelby, NC 28150 Phone: 704-482-1482 Fax: 704-480-6012 | |
Osaguona Osa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 E Grover St, Shelby, NC 28150 Phone: 980-487-3678 Fax: 980-487-2222 | |
Paul Brent Ferrell, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 711 N Dekalb St, Shelby, NC 28150 Phone: 704-482-1482 Fax: 704-480-6012 | |
Aamir Iqbal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 N Dekalb St, Shelby, NC 28150 Phone: 704-482-1482 | |
Baruh Bruck Mulat, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 808 N Washington St, Shelby, NC 28150 Phone: 980-487-1400 Fax: 980-487-1400 | |
Forrest Leigh Thompson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 E Grover St, Shelby, NC 28150 Phone: 980-487-2600 |