| Abdel Farid Abu Shamat, MD | |
|
333 Dr Michael Debakey Dr, Suite 140, Lake Charles, LA 70601-5887 | |
| (337) 494-7090 | |
| (337) 494-7040 |
| Full Name | Abdel Farid Abu Shamat |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 45 Years |
| Location | 333 Dr Michael Debakey Dr, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528053824 | NPI | - | NPPES |
| P00103040 | Other | LA | RR MEDICARE |
| 1679232 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11617R (Louisiana) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 11617R (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmcna - Central Lake Charles Dx | Lake charles, LA | Dialysis facility |
| Davita - Lake Charles Southwest Dialysis | Lake charles, LA | Dialysis facility |
| Lake Charles Memorial Hospital | Lake charles, LA | Hospital |
| West Calcasieu Cameron Hospital | Sulphur, LA | Hospital |
| Christus Ochsner St Patrick Hospital | Lake charles, LA | Hospital |
| Beauregard Memorial Hospital | Deridder, LA | Hospital |
| Christus Ochsner Lake Area Hospital | Lake charles, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Kidney Clinic Llc | 2062593635 | 4 |
| Entity Name | The Kidney Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760665129 PECOS PAC ID: 2062593635 Enrollment ID: O20080122000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Abdel Farid Abu Shamat, MD 333 Dr Michael Debakey Dr, Suite 140, Lake Charles, LA 70601-5887 Ph: (337) 494-7090 | Abdel Farid Abu Shamat, MD 333 Dr Michael Debakey Dr, Suite 140, Lake Charles, LA 70601-5887 Ph: (337) 494-7090 |
Robin Ann Rougeau, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 555 South Ryan St, #101, Lake Charles, LA 70601 Phone: 337-439-0762 Fax: 337-436-8862 | |
Dr. Jean King White, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1717 Oak Park Blvd Fl 2, Lake Charles, LA 70601 Phone: 337-494-3278 Fax: 337-494-3240 | |
Dr. William R Condos Jr., M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1717 Oak Park Blvd, Fl 2, Lake Charles, LA 70601 Phone: 337-494-3278 Fax: 337-494-3240 | |
Kunwardeep Singh Arora, Nephrology Medicare: Not Enrolled in Medicare Practice Location: 524 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-436-2511 | |
Dr. Leroy E Fredericks, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2770 3rd Ave Ste 210, Lake Charles, LA 70601 Phone: 337-494-6768 Fax: 337-494-6792 | |
Brooke Rozas, APRN Nephrology Medicare: Not Enrolled in Medicare Practice Location: 3021 Lake St, Lake Charles, LA 70601 Phone: 337-494-7090 | |
Gerald W Byrd, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-433-7350 |