Stacy Mcbroom, DO | |
2016 Oak Park Blvd, Lake Charles, LA 70601-7828 | |
(337) 477-8861 | |
(337) 477-3092 |
Full Name | Stacy Mcbroom |
---|---|
Gender | Female |
Speciality | Osteopathic Manipulative Medicine |
Experience | 32 Years |
Location | 2016 Oak Park Blvd, Lake Charles, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346267077 | NPI | - | NPPES |
1318540 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | DO000034 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospital & Clinics | Lafayette, LA | Hospital |
Lafayette General Medical Center | Lafayette, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Hospital And Clinics, Inc. | 7113161977 | 69 |
Entity Name | University Hospital & Clinics, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639518087 PECOS PAC ID: 7113161977 Enrollment ID: O20130917000335 |
Mailing Address | Practice Location Address |
---|---|
Stacy Mcbroom, DO Po Box 122525, Dept 2525, Dallas, TX 75312-2525 Ph: (337) 494-2772 | Stacy Mcbroom, DO 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 Ph: (337) 477-8861 |
Dr. James Jeffery Jancuska, M.D. Urology Medicare: Medicare Enrolled Practice Location: 401 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-436-6100 | |
Dr. Kenneth Steven Verheeck, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 234 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-5282 Fax: 337-433-1159 | |
Dr. Farjaad Siddiq, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1715 Wolf Cir, Lake Charles, LA 70605 Phone: 337-480-7499 Fax: 337-480-7498 | |
Reed A Fontenot Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2016 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-477-8861 Fax: 337-477-3092 | |
Dr. John H Upshaw Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2770 3rd Ave Ste 240, Lake Charles, LA 70601 Phone: 337-494-4656 Fax: 337-494-4657 |