Phillip Ray Bacilla Jr, MD | |
3351 Masonic Drive, Alexandria, LA 71301-3842 | |
(318) 473-9556 | |
(318) 441-8339 |
Full Name | Phillip Ray Bacilla Jr |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 39 Years |
Location | 3351 Masonic Drive, Alexandria, 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 |
---|---|---|---|
1598732133 | NPI | - | NPPES |
1662496 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD 020542 (Louisiana) | Primary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | MD020542 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Landry Homecare | Opelousas, LA | Home health agency |
Opelousas General Health System | Opelousas, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Opelousas General Health System Physician Practices | 9830340694 | 46 |
Entity Name | Opelousas Orthopaedic Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700964764 PECOS PAC ID: 2567473002 Enrollment ID: O20080428000039 |
Entity Name | Opelousas General Health System Physician Practices |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295098747 PECOS PAC ID: 9830340694 Enrollment ID: O20121105000236 |
Mailing Address | Practice Location Address |
---|---|
Phillip Ray Bacilla Jr, MD 3351 Masonic Drive, Alexandria, LA 71301-3842 Ph: (318) 473-9556 | Phillip Ray Bacilla Jr, MD 3351 Masonic Drive, Alexandria, LA 71301-3842 Ph: (318) 473-9556 |
Dr. Kevin D Keith, D.O. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 201 4th St Ste 1ds, Alexandria, LA 71301 Phone: 318-443-7622 | |
Dr. Douglas L Gamburg, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 224 Pecan Park Ave, Alexandria, LA 71303 Phone: 318-443-9191 Fax: 318-443-9190 | |
Daniel R Oas, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: Mid State Orthoapedic And Sports Medicine Center, Llc, 3444 Masonic Drive, Alexandria, LA 71301 Phone: 318-473-9556 Fax: 318-441-8339 | |
Mr. Jeffrey L Garrison, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3444 Masonic Drive, Alexandria, LA 71301 Phone: 318-473-9556 Fax: 318-441-8339 | |
Louis Donovan Perdue, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3351 Masonic Drive, Alexandria, LA 71301 Phone: 318-473-9556 Fax: 318-441-8339 | |
Mr. Timmothy R Randell, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3444 Masonic Drive, Alexandria, LA 71301 Phone: 318-473-9556 Fax: 318-441-8339 | |
Brad Chauvin, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 4th St, Suite 1d, Alexandria, LA 71301 Phone: 318-443-7622 Fax: 318-443-7629 |