Prashanth Pothem, MD | |
1201 W Fertitta Blvd, Leesville, LA 71446-4637 | |
(248) 635-0979 | |
(337) 392-6206 |
Full Name | Prashanth Pothem |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 1201 W Fertitta Blvd, Leesville, 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 |
---|---|---|---|
1619123890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 204696 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cartersville Medical Center | Cartersville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allatoona Physician Services Pc | 7517342579 | 29 |
Entity Name | Allatoona Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497482350 PECOS PAC ID: 7517342579 Enrollment ID: O20220913000203 |
Mailing Address | Practice Location Address |
---|---|
Prashanth Pothem, MD 1201 W Fertitta Blvd, Leesville, LA 71446-4637 Ph: (248) 635-0979 | Prashanth Pothem, MD 1201 W Fertitta Blvd, Leesville, LA 71446-4637 Ph: (248) 635-0979 |
Dr. Jacqueline Jennifer Gourdet Dorvil, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3353 University Pkwy, Leesville, LA 71446 Phone: 337-392-3800 | |
Kimberly Landrum, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 W Fertitta Blvd, Leesville, LA 71446 Phone: 337-392-9438 Fax: 337-392-9440 | |
Dr. Timothy J Donovan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 103 West University Parkway, Leesville, LA 71446 Phone: 337-239-2600 Fax: 337-239-2601 | |
Dr. Melissa K Moss, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 802 S 10th St Ste C, Leesville, LA 71446 Phone: 337-238-4189 | |
Dr. Nichole Michelle Churchman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1017 W Fertitta Blvd, Leesville, LA 71446 Phone: 337-238-4511 Fax: 337-238-4513 | |
Dr. James D Patterson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3353 University Pkwy, Leesville, LA 71446 Phone: 337-392-3800 |