| Chad N Heinen, MD | |
|
2027 Saint Joseph Ave, Lake Charles, LA 70601-5006 | |
| (337) 515-0027 | |
| (888) 336-6084 |
| Full Name | Chad N Heinen |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2027 Saint Joseph Ave, Lake Charles, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629001490 | NPI | - | NPPES |
| 601880900 | Other | AR | DEPARTMENT OF LABOR |
| 710799061 | Other | AR | CIGNA |
| 155103001 | Medicaid | AR | |
| 5M807 | Other | AR | BLUE CROSS BLUE SHIELD |
| 710799061 | Other | AR | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E-3962 (Arkansas) | Secondary |
| 207R00000X | Internal Medicine | MD-023108 (Louisiana) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Chad N Heinen, MD 2027 Saint Joseph Ave, Lake Charles, LA 70601-5006 Ph: (337) 515-0027 | Chad N Heinen, MD 2027 Saint Joseph Ave, Lake Charles, LA 70601-5006 Ph: (337) 515-0027 |
Robin Ann Rougeau, MD Internal Medicine 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 Internal Medicine Medicare: May Accept Medicare Assignments 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. Internal Medicine 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, Internal Medicine 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. Internal Medicine 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 Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3021 Lake St, Lake Charles, LA 70601 Phone: 337-494-7090 | |
Gerald W Byrd, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-433-7350 |