| Lourdes Physician Billing Service | |
|
4801 Ambassador Caffery Pkwy Lafayette LA 70508-6917 | |
| (337) 470-2000 | |
| Not Available |
| Full Name | Lourdes Physician Billing Service |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4801 Ambassador Caffery Pkwy, Lafayette, Louisiana |
| Authorized Official Name and Position | William F Barrow (CEO) |
| Authorized Official Contact | 3374702100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lourdes Physician Billing Service Po Box 53533 Lafayette LA 70505-3533 Ph: (337) 470-2000 | Lourdes Physician Billing Service 4801 Ambassador Caffery Pkwy Lafayette LA 70508-6917 Ph: (337) 470-2000 |
| NPI Number | 1265593735 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 10/02/2014 |
| Medicare PECOS PAC ID | 9638131840 |
|---|---|
| Medicare Enrollment ID | O20041101000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265593735 | NPI | - | NPPES |
| 1948837 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Kevin R Hargrave |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043292600 PECOS PAC ID: 7810908811 Enrollment ID: I20070518000154 |
| Provider Name | Fabian Lugo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538190798 PECOS PAC ID: 6406956085 Enrollment ID: I20070711000800 |
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