| Amanda Susan Ellington, MD | |
|
2770 3rd Ave Ste 120, Lake Charles, LA 70601-8994 | |
| (337) 494-4868 | |
| (337) 494-4870 |
| Full Name | Amanda Susan Ellington |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 18 Years |
| Location | 2770 3rd Ave Ste 120, Lake Charles, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023219110 | NPI | - | NPPES |
| 1099791 | Medicaid | LA | |
| MD.203251 | Other | LA | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 203251 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Charles Memorial Hospital | Lake charles, LA | Hospital |
| Dequincy Memorial Hospital | Dequincy, LA | Hospital |
| Christus Ochsner St Patrick Hospital | Lake charles, LA | Hospital |
| Christus Ochsner Lake Area Hospital | Lake charles, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lcms Surgical Associates Of Southwest Lousiana, Llc | 8820113780 | 6 |
| Entity Name | Lsuhn Billing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992975775 PECOS PAC ID: 0446337802 Enrollment ID: O20080409000372 |
| Entity Name | Lcms Surgical Associates Of Southwest Lousiana, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407168032 PECOS PAC ID: 8820113780 Enrollment ID: O20100915000594 |
| Entity Name | Surgical Hospital Management System Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043595804 PECOS PAC ID: 1355584806 Enrollment ID: O20130830000513 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Susan Ellington, MD P.o. Box 122342 Dept 2342, Lake Charles, LA 70601 Ph: (337) 494-2921 | Amanda Susan Ellington, MD 2770 3rd Ave Ste 120, Lake Charles, LA 70601-8994 Ph: (337) 494-4868 |
Dr. Thomas Howard Mccalla, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 816 W Bayou Pines Dr, Lake Charles, LA 70601 Phone: 337-439-8588 Fax: 337-439-0808 | |
Andrew Lee Foret, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 1747 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-721-7236 Fax: 337-721-7237 | |
Ralph W Colpitts, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 215 W Prien Lake Rd, Lake Charles, LA 70601 Phone: 337-502-8706 Fax: 377-210-1271 | |
Justin William Rudd, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-312-8762 Fax: 337-312-8044 | |
Dr. Thomas M Rossowski, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-477-7500 Fax: 337-477-7570 | |
John Lucas Cocchiara, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1739 Ryan St, Lake Charles, LA 70601 Phone: 337-439-9419 Fax: 337-491-9577 |