Dr Susan Bourgeois Ieyoub, MD | |
4345 Nelson Rd Ste 201, Lake Charles, LA 70605-4183 | |
(337) 494-6800 | |
(337) 494-6811 |
Full Name | Dr Susan Bourgeois Ieyoub |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 31 Years |
Location | 4345 Nelson Rd Ste 201, 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 |
---|---|---|---|
1255404521 | NPI | - | NPPES |
MD.10821R | Other | LA | STATE LICENSE |
1693910 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | L10821R (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Evangeline Home Health Llc | Basile, LA | Home health agency |
Heart Of Hospice | Lake charles, LA | Hospice |
Lamm Family Care Hospice | Crowley, LA | Hospice |
Lake Charles Memorial Hospital | Lake charles, LA | Hospital |
West Calcasieu Cameron Hospital | Sulphur, LA | Hospital |
Christus Ochsner St Patrick Hospital | Lake charles, LA | Hospital |
Christus Ochsner Lake Area Hospital | Lake charles, LA | Hospital |
Southwest Louisiana War Veterans Home | Jennings, LA | Nursing home |
Golden Age Of Welsh, Llc | Welsh, LA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Swlhs Inc. | 6406938612 | 17 |
Entity Name | Swlhs Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669494654 PECOS PAC ID: 6406938612 Enrollment ID: O20080128000232 |
Mailing Address | Practice Location Address |
---|---|
Dr Susan Bourgeois Ieyoub, MD Po Box 122205 Dept 2205, Dallas, TX 75312-0001 Ph: (337) 494-2921 | Dr Susan Bourgeois Ieyoub, MD 4345 Nelson Rd Ste 201, Lake Charles, LA 70605-4183 Ph: (337) 494-6800 |
Robin Ann Rougeau, MD Internal Medicine 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 Internal Medicine 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. Internal Medicine 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. Internal Medicine 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 Internal Medicine 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. Internal Medicine 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 Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2770 3rd Ave Ste 345, Lake Charles, LA 70601 Phone: 337-494-4785 Fax: 337-494-4786 |