Mr Matthew Earles Dauterive, | |
2309 E Main St Ste 500, New Iberia, LA 70560-4046 | |
(337) 374-7315 | |
(337) 374-7313 |
Full Name | Mr Matthew Earles Dauterive |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 13 Years |
Location | 2309 E Main St Ste 500, New Iberia, Louisiana |
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 |
---|---|---|---|
1053679530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 308116 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Iberia Medical Center | New iberia, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Iberia Medical Center Physician Practice Network | 3476730847 | 20 |
Entity Name | Iberia Medical Center Physician Practice Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518265297 PECOS PAC ID: 3476730847 Enrollment ID: O20110613000164 |
Entity Name | Gbr, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770872616 PECOS PAC ID: 8123206299 Enrollment ID: O20110621000438 |
Mailing Address | Practice Location Address |
---|---|
Mr Matthew Earles Dauterive, 155 Hospital Dr Ste 101, Lafayette, LA 70503-2852 Ph: (252) 744-5258 | Mr Matthew Earles Dauterive, 2309 E Main St Ste 500, New Iberia, LA 70560-4046 Ph: (337) 374-7315 |
Shivakanth Burugu, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 224 N Lewis St, New Iberia, LA 70563 Phone: 337-560-1144 Fax: 337-560-1102 | |
Kimberly R Smith, M.D., Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 520 N Lewis St, Suite 100, New Iberia, LA 70563 Phone: 337-367-8220 Fax: 337-367-8108 | |
Robert S Lewis, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2308 E Main St Ste F, New Iberia, LA 70560 Phone: 337-364-8890 Fax: 337-364-8552 | |
Dr. Vina S Baker, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 602 N Lewis Ave., Suite 100, New Iberia, LA 70563 Phone: 337-364-2822 Fax: 337-364-1978 | |
Dr. Carl M Ditch, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2316 E. Main St., New Iberia, LA 70560 Phone: 337-364-1103 Fax: 337-364-1194 | |
Dr. James Darvin Hales, DO, FCCP, DABSM Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2309 East Main Street, Suite 202, New Iberia, LA 70560 Phone: 337-364-8500 Fax: 337-364-8582 |