Mmg/moss Campus - Medicare Primary Care in Lake Charles, LA

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Mmg/moss Campus is a medicare enrolled primary clinic (Physical Medicine & Rehabilitation) in Lake Charles, Louisiana. The current practice location for Mmg/moss Campus is 1000 Walters St, Lake Charles, Louisiana. For appointments, you can reach them via phone at (337) 480-8066. The mailing address for Mmg/moss Campus is Po Box 122108 Dept 2108, Dallas, Texas and phone number is (337) 494-2921.

Mmg/moss Campus is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1215161922. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (337) 480-8066.

Contact Information

Mmg/moss Campus
1000 Walters St
Lake Charles
LA 70607-4647
(337) 480-8066
(337) 480-8109

Map and Direction


Primary Care Clinic Profile

Full NameMmg/moss Campus
SpecialityPhysical Medicine & Rehabilitation
Location1000 Walters St, Lake Charles, Louisiana
Authorized Official Name and PositionDawn Johnson-hatcher (CFO)
Authorized Official Contact3374942094
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mmg/moss Campus
Po Box 122108 Dept 2108
Dallas
TX 75312-2108

Ph: (337) 494-2921		Mmg/moss Campus
1000 Walters St
Lake Charles
LA 70607-4647

Ph: (337) 480-8066

NPI Details:

NPI Number1215161922
Provider Enumeration Date05/08/2009
Last Update Date12/04/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7012061930
Medicare Enrollment IDO20090812000167

Medical Identifiers

Medical identifiers for Mmg/moss Campus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215161922NPI-NPPES
09-00013263OtherLAOCCUPATIONAL LICENSE
2353993MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Primary
2084A0401XPsychiatry & Neurology - Addiction Medicine (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mmg/moss Campus acts as a billing entity for following providers:
Provider NameMohammad S Sarwar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407823644
PECOS PAC ID: 1557311768
Enrollment ID: I20050126000136
Provider NameGerard J Guidry
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1235198599
PECOS PAC ID: 0941254544
Enrollment ID: I20050308000005
Provider NameTherese A Novak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699803361
PECOS PAC ID: 0547366494
Enrollment ID: I20070509000458
Provider NameCarlos M Choucino
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1386604338
PECOS PAC ID: 7810095676
Enrollment ID: I20070604000078
Provider NameMary Hollingsworth Sherk
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326014739
PECOS PAC ID: 0840388591
Enrollment ID: I20100308000477
Provider NameEileen S Piper
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861452393
PECOS PAC ID: 6800075953
Enrollment ID: I20110121000739
Provider NamePing Kok Lie
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447210406
PECOS PAC ID: 5890974885
Enrollment ID: I20110124000172
Provider NameMuhammad Shaikh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396705752
PECOS PAC ID: 0547267510
Enrollment ID: I20110124001158
Provider NameKarie Joy Savoy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275811572
PECOS PAC ID: 8628244282
Enrollment ID: I20120103000192
Provider NamePeter W Karam
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235218660
PECOS PAC ID: 6103089289
Enrollment ID: I20120705000009
Provider NameKeysha R Nabours
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932450210
PECOS PAC ID: 5698925154
Enrollment ID: I20121019000050
Provider NameJason P Hagen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093008401
PECOS PAC ID: 9032369830
Enrollment ID: I20121031000505
Provider NameDavid Andrew Palombo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700151016
PECOS PAC ID: 0547407785
Enrollment ID: I20150107000431
Provider NameLouis Pulicicchio
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861437733
PECOS PAC ID: 4385745397
Enrollment ID: I20170705003086
Provider NameCollin S Bowe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760896625
PECOS PAC ID: 4183997620
Enrollment ID: I20170906001345
Provider NameBenjamin Martin Azevedo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821434432
PECOS PAC ID: 4284942012
Enrollment ID: I20170915001199
Provider NameApril D Carter
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083024558
PECOS PAC ID: 3274759634
Enrollment ID: I20171206001354
Provider NameKayla Sanner Nordstrom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285199844
PECOS PAC ID: 7416297601
Enrollment ID: I20190326001792
Provider NameAshton A Adekanmbi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548791940
PECOS PAC ID: 3173896081
Enrollment ID: I20200713001739
Provider NameJasmin M Demerson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396276713
PECOS PAC ID: 7113290651
Enrollment ID: I20200713001884
Provider NameAjaypal Singh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235586249
PECOS PAC ID: 9436442530
Enrollment ID: I20200714002238
Provider NameShane Lee
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346778644
PECOS PAC ID: 1951642909
Enrollment ID: I20201119000857
Provider NameChristine Dugan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427317858
PECOS PAC ID: 1456582956
Enrollment ID: I20210928000792
Provider NameRichard Matthew Hawkins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396007324
PECOS PAC ID: 3779700794
Enrollment ID: I20221129000113
Provider NameOmar Leonards
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295294486
PECOS PAC ID: 5395073555
Enrollment ID: I20230105002726
Provider NameSuzette Mary Tolbird
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669170650
PECOS PAC ID: 3870959422
Enrollment ID: I20230524000626
Provider NameEbony Eaglin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669165239
PECOS PAC ID: 9335501790
Enrollment ID: I20230816003265
Provider NameEric W Linville
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1023514569
PECOS PAC ID: 8628431699
Enrollment ID: I20230824002120
Provider NameBrandi Lejeune
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083495006
PECOS PAC ID: 2264875558
Enrollment ID: I20240202002360
Provider NameRilee Breann Como
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619730207
PECOS PAC ID: 4587003264
Enrollment ID: I20240415000509

Reviews and Comments


Physical Medicine & Rehabilitation in Lake Charles, LA

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
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Practice Location: 2750 Aster St, Lake Charles, LA 70601
Phone: 337-478-2650    Fax: 337-478-8183
Cardiovascular Outpatient Center Of Southwest Louisiana
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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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.