Mr Robert Craig Broussard, MD | |
2770 3rd Ave Ste 350, Lake Charles, LA 70601-0404 | |
(337) 494-2750 | |
(337) 494-2760 |
Full Name | Mr Robert Craig Broussard |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 40 Years |
Location | 2770 3rd Ave Ste 350, Lake Charles, 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 |
---|---|---|---|
1821007170 | NPI | - | NPPES |
1396826 | Medicaid | LA | |
5J895DR91 | Other | LA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 018460 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Charles Memorial Hospital | Lake charles, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lcms Pulmonary Associates Of Southwest Louisiana | 0446439939 | 7 |
Entity Name | Lcms Pulmonary Associates Of Southwest Louisiana |
---|---|
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 |
---|---|
Mr Robert Craig Broussard, MD Po Box 122309, Dept 2309, Dallas, TX 75312-2309 Ph: (337) 494-2921 | Mr Robert Craig Broussard, MD 2770 3rd Ave Ste 350, Lake Charles, LA 70601-0404 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 |