| Morehouse General Hospital | |
|
323 W Walnut Ave Bastrop LA 71220-4521 | |
| (318) 283-3600 | |
| (318) 239-8600 |
| Full Name | Morehouse General Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 323 W Walnut Ave, Bastrop, Louisiana |
| Authorized Official Name and Position | Elmore Patterson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3182833607 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morehouse General Hospital Po Box 1060 Bastrop LA 71221-1060 Ph: (318) 283-3710 | Morehouse General Hospital 323 W Walnut Ave Bastrop LA 71220-4521 Ph: (318) 283-3600 |
| NPI Number | 1790966638 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Medicare PECOS PAC ID | 4284528274 |
|---|---|
| Medicare Enrollment ID | O20040211000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790966638 | NPI | - | NPPES |
| 1797138 | Medicaid | LA |
| Provider Name | Mahmoud Sheikh-khalil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801835897 PECOS PAC ID: 7012998354 Enrollment ID: I20040525000216 |
| Provider Name | Jeffrey Counts |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710962444 PECOS PAC ID: 0446278121 Enrollment ID: I20051110000981 |
| Provider Name | Daniel Trejo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093766925 PECOS PAC ID: 2062480486 Enrollment ID: I20060331000051 |
| Provider Name | Douglas Matthew Casey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942498613 PECOS PAC ID: 3870674914 Enrollment ID: I20080115000623 |
| Provider Name | Brenton W Mcdonald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528094455 PECOS PAC ID: 1254417132 Enrollment ID: I20080319000043 |
| Provider Name | Timothy Spires |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346257870 PECOS PAC ID: 2961555826 Enrollment ID: I20090725000042 |
| Provider Name | Curtis Sanders |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144232430 PECOS PAC ID: 7517002140 Enrollment ID: I20100305000848 |
| Provider Name | Joseph A Walters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740490895 PECOS PAC ID: 6103952841 Enrollment ID: I20100331001304 |
| Provider Name | James M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225065709 PECOS PAC ID: 3870599772 Enrollment ID: I20100618000012 |
| Provider Name | Marcus V Stelly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225206212 PECOS PAC ID: 1759412554 Enrollment ID: I20100623000074 |
| Provider Name | Chad T Porter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669652665 PECOS PAC ID: 0547391229 Enrollment ID: I20100624000002 |
| Provider Name | Althea T Conley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114995198 PECOS PAC ID: 7517851413 Enrollment ID: I20100727000729 |
| Provider Name | Danier D Anderson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639347073 PECOS PAC ID: 0446448237 Enrollment ID: I20101221000288 |
| Provider Name | Angela C Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821352535 PECOS PAC ID: 8022274570 Enrollment ID: I20120727000192 |
| Provider Name | Ralph L Abraham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639346174 PECOS PAC ID: 2365686391 Enrollment ID: I20130913000109 |
| Provider Name | Cesar Zambrano Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629270962 PECOS PAC ID: 5799926937 Enrollment ID: I20131011000930 |
| Provider Name | Morgan Cheatham Haile |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760655500 PECOS PAC ID: 6901060292 Enrollment ID: I20140127001269 |
| Provider Name | Kristopher Charles Sirmon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295976280 PECOS PAC ID: 7517187131 Enrollment ID: I20141002002204 |
| Provider Name | Dwayne O Jeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720483787 PECOS PAC ID: 2062735277 Enrollment ID: I20141219000470 |
| Provider Name | Kulvinder Jeet Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750786703 PECOS PAC ID: 9032432737 Enrollment ID: I20150105001867 |
| Provider Name | Matthew K Dang |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1588848857 PECOS PAC ID: 7517131147 Enrollment ID: I20150130000807 |
| Provider Name | Lisa A Post |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508848623 PECOS PAC ID: 6002823929 Enrollment ID: I20150408000527 |
| Provider Name | Joy Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386007672 PECOS PAC ID: 8820384738 Enrollment ID: I20160901000121 |
| Provider Name | Victor Anthony Linden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073772141 PECOS PAC ID: 7810297041 Enrollment ID: I20170711001232 |
| Provider Name | Elliott Branscome Nipper |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902811300 PECOS PAC ID: 1355345158 Enrollment ID: I20171011003372 |
| Provider Name | Tiffany Lasheu Tolliver-battle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013424670 PECOS PAC ID: 4688935281 Enrollment ID: I20180222001119 |
| Provider Name | Gregory Renck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275645400 PECOS PAC ID: 2668557455 Enrollment ID: I20180723000222 |
| Provider Name | James Lamousin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043227606 PECOS PAC ID: 8022000215 Enrollment ID: I20180802001356 |
| Provider Name | Karen Kerrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376672337 PECOS PAC ID: 5193075828 Enrollment ID: I20180830000847 |
| Provider Name | Joseph Hime |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528324811 PECOS PAC ID: 8123337201 Enrollment ID: I20181226002001 |
| Provider Name | Vikram Mysore Hatti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447202460 PECOS PAC ID: 3476554783 Enrollment ID: I20191007003390 |
| Provider Name | Amir Abdelmalik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093967390 PECOS PAC ID: 8123280682 Enrollment ID: I20200406001258 |
| Provider Name | Stanley Douglas Crawford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497171888 PECOS PAC ID: 1951635077 Enrollment ID: I20200520001656 |
| Provider Name | Noah Woolridge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962899559 PECOS PAC ID: 2062702400 Enrollment ID: I20200629001825 |
| Provider Name | Ravali Tarigopula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285802892 PECOS PAC ID: 0547427346 Enrollment ID: I20210420000472 |
| Provider Name | Cameron Michael Best |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1912160748 PECOS PAC ID: 4587880281 Enrollment ID: I20210520001838 |
| Provider Name | Harry Hawthorne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245734813 PECOS PAC ID: 8022368836 Enrollment ID: I20210802000738 |
| Provider Name | William Patrick Ensminger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740644665 PECOS PAC ID: 8123313053 Enrollment ID: I20220901000353 |
| Provider Name | Jaimie Alechia Treadway Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184308371 PECOS PAC ID: 3577927128 Enrollment ID: I20230914002593 |
| Provider Name | Rolando Ernesto Prieto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578551321 PECOS PAC ID: 7416993860 Enrollment ID: I20240312001116 |
| Provider Name | Ryan Keith Tompkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619064623 PECOS PAC ID: 1052493152 Enrollment ID: I20240416002479 |
Communihealth Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 314 N Franklin St, Bastrop, LA 71220 Phone: 318-283-8887 Fax: 318-281-6339 | |
Therapeutic Interventions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9080 Westwood Dr., Null, Bastrop, LA 71220 Phone: 318-237-8000 | |
Communihealth Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 314 North Franklin Street, Bastrop, LA 71220 Phone: 318-283-8887 | |
Obh-bastrop Addictive Disorders Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 S Franklin St, Bastrop, LA 71220 Phone: 318-283-0868 Fax: 318-283-0875 | |
The Carter House For Youth Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Tisdale Dr, Bastrop, LA 71220 Phone: 318-974-6000 | |
Body & Soul Rehabilitation Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5743 Mer Rouge Rd, Bastrop, LA 71220 Phone: 318-283-3299 Fax: 318-283-3298 | |
Abounding Grace Therapeutic Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 N Vine St, Bastrop, LA 71220 Phone: 318-281-4195 Fax: 318-281-4196 |