| Blaine Edward Lavergne, MD | |
|
510 Cottonwood St, Bunkie, LA 71322 | |
| (318) 346-3338 | |
| Not Available |
| Full Name | Blaine Edward Lavergne |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | 510 Cottonwood St, Bunkie, 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 |
|---|---|---|---|
| 1184657496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD.021983 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospital & Clinics | Lafayette, LA | Hospital |
| St Martin Hospital | Breaux bridge, LA | Hospital |
| Our Lady Of Lourdes Regional Medical Center, Inc | Lafayette, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Acadiana Acute Care Associates, Llc | 0547390056 | 24 |
| St Martin Emergency Group Llc | 0840444683 | 17 |
| Congress Emergency Group Llc | 1557580354 | 16 |
| Entity Name | Hospital Service District No 1 Parish Of Avoyelles State Of La |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316157845 PECOS PAC ID: 3375440910 Enrollment ID: O20031212000761 |
| Entity Name | Emergency Group Of St Landry Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164491320 PECOS PAC ID: 0749237212 Enrollment ID: O20050406000828 |
| Entity Name | Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20050610000177 |
| Entity Name | Vermilion Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215161096 PECOS PAC ID: 8820148554 Enrollment ID: O20090618000010 |
| Entity Name | Acadiana Acute Care Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255566626 PECOS PAC ID: 0547390056 Enrollment ID: O20100610000065 |
| Entity Name | St Martin Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710231774 PECOS PAC ID: 0840444683 Enrollment ID: O20130204000235 |
| Entity Name | St. Martin Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528312584 PECOS PAC ID: 0446495410 Enrollment ID: O20130321000353 |
| Entity Name | Congress Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912316944 PECOS PAC ID: 1557580354 Enrollment ID: O20140909002128 |
| Entity Name | Oakdale Ess Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750785119 PECOS PAC ID: 7517289713 Enrollment ID: O20141125000402 |
| Mailing Address | Practice Location Address |
|---|---|
| Blaine Edward Lavergne, MD Po Box 380, Bunkie, LA 71322-0380 Ph: (318) 346-6681 | Blaine Edward Lavergne, MD 510 Cottonwood St, Bunkie, LA 71322 Ph: (318) 346-3338 |