| Cardiovascular Outpatient Center Of Southwest Louisiana | |
|
401 Dr Michael Debakey Dr Suite 300 Lake Charles LA 70601-5864 | |
| (337) 602-9991 | |
| Not Available |
| Full Name | Cardiovascular Outpatient Center Of Southwest Louisiana |
|---|---|
| Speciality | Clinic/Center |
| Location | 401 Dr Michael Debakey Dr, Lake Charles, Louisiana |
| Authorized Official Name and Position | Kelly Marie Bemis (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8587222358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardiovascular Outpatient Center Of Southwest Louisiana Dept 3026, Po Box 4417 Houston TX 77210-4417 Ph: () - | Cardiovascular Outpatient Center Of Southwest Louisiana 401 Dr Michael Debakey Dr Suite 300 Lake Charles LA 70601-5864 Ph: (337) 602-9991 |
| NPI Number | 1033565320 |
|---|---|
| Provider Enumeration Date | 05/05/2016 |
| Last Update Date | 01/11/2024 |
| Medicare PECOS PAC ID | 0244523868 |
|---|---|
| Medicare Enrollment ID | O20160720000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033565320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Michael C Turner |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629035647 PECOS PAC ID: 5799889226 Enrollment ID: I20070322000430 |
| Provider Name | Thomas Mulhearn |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285789008 PECOS PAC ID: 9739276007 Enrollment ID: I20110726000500 |
| Provider Name | Corey Foster |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669693867 PECOS PAC ID: 3476607433 Enrollment ID: I20140812000284 |
| Provider Name | Jake Thomas Lebeau |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174659668 PECOS PAC ID: 7517016223 Enrollment ID: I20141015001919 |
| Provider Name | Brett Jared Goodwin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235457870 PECOS PAC ID: 5597033043 Enrollment ID: I20170626000499 |
| Provider Name | Parker G Lavigne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467816595 PECOS PAC ID: 9234425380 Enrollment ID: I20190613000310 |
| Provider Name | Brian D Greet |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1891011573 PECOS PAC ID: 6901135607 Enrollment ID: I20200514002933 |
| Provider Name | Prasanna Sugathan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598847733 PECOS PAC ID: 6709772593 Enrollment ID: I20211007001258 |
Lake Charles Medical Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-582-7632 Fax: 337-582-7656 | |
Family Medical Center. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-478-2650 Fax: 337-478-8183 | |
Washington-marion Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2802 Pineview St, Lake Charles, LA 70615 Phone: 337-217-4540 Fax: 337-439-5029 | |
Headache And Wellness Center Of Southwest Louisiana, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 803 W Bayou Pines Dr Ste B, Lake Charles, LA 70601 Phone: 337-508-2333 | |
Imperial Health, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-312-6708 | |
Kndl Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4200 Nelson Rd, Lake Charles, LA 70605 Phone: 337-475-4748 Fax: 337-944-4421 |