Brian Gamborg, in Lake Charles, LA - Medicare Family Practice

Brian Gamborg, is a medicare enrolled "Family Medicine" physician in Lake Charles, Louisiana. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Calcasieu Cameron Hospital Medicine Group Llc and his current practice location is 1525 Oak Park Blvd, Lake Charles, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 494-6767.

Brian Gamborg is licensed to practice in Louisiana (license number 023359) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295795755.

Contact Information

	Brian Gamborg,
	1525 Oak Park Blvd, Lake Charles, LA 70601-8849
	(337) 494-6767
	(337) 494-6750

Map and Direction

Physician's Profile

Full Name	Brian Gamborg
Gender	Male
Speciality	Family Practice
Experience	40 Years
Location	1525 Oak Park Blvd, Lake Charles, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brian Gamborg graduated from medical school in 1984

NPI Data:

NPI Number: 1295795755
Provider Enumeration Date: 03/27/2006
Last Update Date: 04/29/2022

Medicare PECOS Information:

PECOS PAC ID: 4981779386
Enrollment ID: I20080820000130

Medical Identifiers

Medical identifiers for Brian Gamborg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295795755	NPI	-	NPPES
1694878	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	023359 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health	Lake charles, LA	Home health agency
West Calcasieu Cameron Hospital	Sulphur, LA	Hospital
Lake Charles Memorial Hospital	Lake charles, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Calcasieu Cameron Hospital Medicine Group Llc	1557688421	9

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brian Gamborg allows following entities to bill medicare on his behalf.

Entity Name	Lsuhsc Family Practice Center @ Lcmh
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073514493 PECOS PAC ID: 0042297558 Enrollment ID: O20040702000045

Entity Name	Calcasieu Cameron Hospital Medicine Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659764967 PECOS PAC ID: 1557688421 Enrollment ID: O20150402002192

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Gamborg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Brian Gamborg, Po Box 123453 Dept 3453, Dallas, TX 75312-3453 Ph: (337) 494-2921	Brian Gamborg, 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 Ph: (337) 494-6767

Reviews and Comments

Family Medicine Doctors in Lake Charles, LA

Dr. Benjamin Bryce Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 771 E Bayou Pines Dr, Lake Charles, LA 70601 Phone: 337-433-1212 Fax: 337-433-0736
Dr. Michael Kevin Seep, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-480-8900 Fax: 337-480-8901
Dr. Melissa Lalande Rasberry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1920 W Sale Rd, Bldg F, Suite 2, Lake Charles, LA 70605 Phone: 337-474-2856 Fax: 337-480-0645
Micah Leleux, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 217 Sam Houston Jones Pkwy Ste 104, Lake Charles, LA 70611 Phone: 337-480-8989 Fax: 337-480-8988
Kira Racine Groves, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-480-8900 Fax: 337-480-8901
Dr. Jason P Hagen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Walters St, Lake Charles, LA 70607 Phone: 337-480-8066 Fax: 337-480-8061
Clint Nickolas Lincoln, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10071 Gulf Hwy, Lake Charles, LA 70607 Phone: 337-905-2151 Fax: 337-905-2154

Brian Gamborg, - Medicare Family Practice in Lake Charles, LA