| Community Medical Group-st Charles Inc | |
|
1057 Paul Maillard Rd Suite2250 Luling LA 70070-4349 | |
| (985) 785-2218 | |
| (985) 785-7753 |
| Full Name | Community Medical Group-st Charles Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1057 Paul Maillard Rd, Luling, Louisiana |
| Authorized Official Name and Position | John W Mcdaniel (CEO) |
| Authorized Official Contact | 5045222014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Group-st Charles Inc 503 Mcmillan Rd West Monroe LA 71291-5327 Ph: (318) 329-4700 | Community Medical Group-st Charles Inc 1057 Paul Maillard Rd Suite2250 Luling LA 70070-4349 Ph: (985) 785-2218 |
| NPI Number | 1407281546 |
|---|---|
| Provider Enumeration Date | 09/09/2013 |
| Last Update Date | 02/17/2014 |
| Medicare PECOS PAC ID | 0648405167 |
|---|---|
| Medicare Enrollment ID | O20131108000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407281546 | NPI | - | NPPES |
| 2351036 | Medicaid | LA |
| Provider Name | Brian N Brogle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316922131 PECOS PAC ID: 5799750550 Enrollment ID: I20040826000824 |
| Provider Name | Sujata Chava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043318090 PECOS PAC ID: 4284601519 Enrollment ID: I20040915000519 |
| Provider Name | Robert D Cummiskey Iii |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215985213 PECOS PAC ID: 2163433483 Enrollment ID: I20060525000024 |
| Provider Name | Willard K Mann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184738585 PECOS PAC ID: 9234216672 Enrollment ID: I20080409000258 |
| Provider Name | Charles W Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326043084 PECOS PAC ID: 4880580273 Enrollment ID: I20100313000056 |
| Provider Name | Mohammad K. Anwar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477723914 PECOS PAC ID: 0042349334 Enrollment ID: I20100525000670 |
| Provider Name | Wendy Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215168786 PECOS PAC ID: 2769515089 Enrollment ID: I20100805001179 |
| Provider Name | George D Grove |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689889644 PECOS PAC ID: 5294869616 Enrollment ID: I20100819001085 |
| Provider Name | James B Mcconville |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508985938 PECOS PAC ID: 2163690470 Enrollment ID: I20110712000337 |
| Provider Name | Jacob B Daigle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306071469 PECOS PAC ID: 7012134083 Enrollment ID: I20140814002153 |
St Charles Community Health Center, Destrehan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 843 Milling Ave, Luling, LA 70070 Phone: 985-785-5800 Fax: 985-785-5811 | |
St. Charles Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1057 Paul Maillard Rd, Suite 240, Luling, LA 70070 Phone: 985-785-2045 | |
Monica Vial Benson, M.d., Apmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Post Drive, Luling, LA 70070 Phone: 985-785-6204 Fax: 985-785-6509 | |
Ochsner Clinic Llc - St Charles Hospital Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1057 Paul Maillard Rd, Luling, LA 70070 Phone: 985-785-6242 | |
St. Charles Parish School Board Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13855 River Rd, Luling, LA 70070 Phone: 985-785-6289 | |
Access Health Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 904 Sugarhouse Rd, Luling, LA 70070 Phone: 504-575-3712 |