| Dr Blake Leblanc, MD | |
|
1615 Wolf Circle, Lake Charles, LA 70605 | |
| (337) 433-8400 | |
| Not Available |
| Full Name | Dr Blake Leblanc |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 10 Years |
| Location | 1615 Wolf Circle, 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 |
|---|---|---|---|
| 1326365123 | NPI | - | NPPES |
| 2103245 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | MD.204906 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Ochsner Lake Area Hospital | Lake charles, LA | Hospital |
| Christus Ochsner St Patrick Hospital | Lake charles, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Imperial Health Llp | 7719886779 | 76 |
| Entity Name | Imperial Health Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053352401 PECOS PAC ID: 7719886779 Enrollment ID: O20040108000257 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Blake Leblanc, MD 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 Ph: (337) 312-8258 | Dr Blake Leblanc, MD 1615 Wolf Circle, Lake Charles, LA 70605 Ph: (337) 433-8400 |
Susan Webb Boyd, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 555 S Ryan St, #103, Lake Charles, LA 70601 Phone: 337-439-0555 Fax: 337-436-6223 | |
Dr. Eugene Michael Louviere, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-312-6813 | |
Keith Francis De Sonier, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 555 Dr Michael Debakey Dr, #103, Lake Charles, LA 70601 Phone: 337-439-0555 Fax: 337-436-6223 | |
Dr. Roger Mark Williams, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-477-6172 Fax: 337-477-1422 |