Internal Medicine Clinic Of Lake Charles | |
2770 3rd Ave Ste 300 Lake Charles LA 70601-8994 | |
(337) 494-6800 | |
(337) 494-4696 |
Full Name | Internal Medicine Clinic Of Lake Charles |
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Speciality | Internal Medicine |
Location | 2770 3rd Ave Ste 300, Lake Charles, Louisiana |
Authorized Official Name and Position | Dawn Johnson-hatcher (CFO) |
Authorized Official Contact | 3374942094 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Internal Medicine Clinic Of Lake Charles Po Box 122205 Dept 2205 Dallas TX 75312-2205 Ph: (337) 494-2921 | Internal Medicine Clinic Of Lake Charles 2770 3rd Ave Ste 300 Lake Charles LA 70601-8994 Ph: (337) 494-6800 |
NPI Number | 1669494654 |
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Provider Enumeration Date | 07/25/2006 |
Last Update Date | 12/04/2023 |
Medicare PECOS PAC ID | 6406938612 |
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Medicare Enrollment ID | O20080128000232 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669494654 | NPI | - | NPPES |
1946141 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Barbara C Walker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982607396 PECOS PAC ID: 1759331226 Enrollment ID: I20050124000519 |
Provider Name | Melinda Koonce Strickland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760466072 PECOS PAC ID: 6406940758 Enrollment ID: I20070918000548 |
Provider Name | Mark David Lafuria |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427181908 PECOS PAC ID: 2961430103 Enrollment ID: I20080205000201 |
Provider Name | Craig Broussard |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609838861 PECOS PAC ID: 6800854555 Enrollment ID: I20080207000425 |
Provider Name | Mir Khan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669448080 PECOS PAC ID: 4587665674 Enrollment ID: I20080703000379 |
Provider Name | Louise M Becnel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518928001 PECOS PAC ID: 5496843146 Enrollment ID: I20080703000388 |
Provider Name | Ronald M Lewis |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326014523 PECOS PAC ID: 5092728444 Enrollment ID: I20100106000174 |
Provider Name | Amanda V Burnett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235452822 PECOS PAC ID: 5496882151 Enrollment ID: I20100428000883 |
Provider Name | Susan B Bourgeois Ieyoub |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255404521 PECOS PAC ID: 7214069707 Enrollment ID: I20100719000886 |
Provider Name | Brian D Clements |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346329778 PECOS PAC ID: 9436281920 Enrollment ID: I20100720000022 |
Provider Name | William Gerard Hebert |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598834491 PECOS PAC ID: 8123151149 Enrollment ID: I20100728000392 |
Provider Name | Edward V Hebert |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982783312 PECOS PAC ID: 8729256771 Enrollment ID: I20110719000647 |
Provider Name | Jennifer L Leger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780989046 PECOS PAC ID: 5597936096 Enrollment ID: I20110913000682 |
Provider Name | Karl Alaric Duncan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265465017 PECOS PAC ID: 4789680547 Enrollment ID: I20130412000587 |
Provider Name | Mary E Corbello |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851704878 PECOS PAC ID: 4284852922 Enrollment ID: I20140821002296 |
Provider Name | Jason Kent Langhofer |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1356607659 PECOS PAC ID: 9931414380 Enrollment ID: I20150814013146 |
Provider Name | Jessica Zaunbrecher |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104202258 PECOS PAC ID: 5294038295 Enrollment ID: I20160126000962 |
Provider Name | Craig Alan Greenman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982960373 PECOS PAC ID: 3971806696 Enrollment ID: I20161214000816 |
Provider Name | Taylor James Rene Belaire |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730773524 PECOS PAC ID: 9335540848 Enrollment ID: I20210622000960 |
Provider Name | Taylor W Clements |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275037905 PECOS PAC ID: 5991052235 Enrollment ID: I20210806000131 |
Provider Name | Jamie Barrilleaux Little |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871249581 PECOS PAC ID: 9335526086 Enrollment ID: I20220518001069 |
Provider Name | Ashlyn E Brown |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336600089 PECOS PAC ID: 8820322043 Enrollment ID: I20230830000284 |
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 | |
Cardiovascular Outpatient Center Of Southwest Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Dr Michael Debakey Dr, Suite 300, Lake Charles, LA 70601 Phone: 337-602-9991 | |
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 |