| Charles A Moore, MD | |
|
2308 E Main St Ste B, New Iberia, LA 70560-4029 | |
| (337) 369-3683 | |
| Not Available |
| Full Name | Charles A Moore |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 4 Years |
| Location | 2308 E Main St Ste B, New Iberia, 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 |
|---|---|---|---|
| 1417319807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 57.028402 (Ohio) | Secondary |
| 207Y00000X | Otolaryngology | 327892 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Iberia Medical Center | New iberia, LA | Hospital |
| Lafayette Surgical Specialty Hospital | Lafayette, LA | Hospital |
| University Hospital & Clinics | Lafayette, LA | Hospital |
| Our Lady Of Lourdes Regional Medical Center, Inc | Lafayette, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Louisiana Ear, Nose, And Throat Specialists, Inc. | 0042313504 | 64 |
| Lsuhn Billing Llc | 0446337802 | 188 |
| Entity Name | Louisiana Ear, Nose, & Throat Specialists, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083713101 PECOS PAC ID: 0042313504 Enrollment ID: O20070321000477 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles A Moore, MD 604 N Acadia Rd Ste 101, Thibodaux, LA 70301-4897 Ph: (854) 465-0799 | Charles A Moore, MD 2308 E Main St Ste B, New Iberia, LA 70560-4029 Ph: (337) 369-3683 |
James C Walker, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2312 E Main St, St. A St., New Iberia, LA 70560 Phone: 337-364-9681 Fax: 337-367-9697 | |
Lizabeth F Clarke, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 426 Charles St, New Iberia, LA 70560 Phone: 337-365-4156 Fax: 337-365-4192 | |
Harold G Bienvenu Iii, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 426 Charles St, New Iberia, LA 70560 Phone: 337-365-4156 Fax: 337-365-4095 | |
Dr. Clyde Edward Landrum, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 41 Shadows Bend, New Iberia, LA 70563 Phone: 337-519-3399 Fax: 337-369-6829 | |
Tynes Emery Mixon Iii, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 426 Charles St, New Iberia, LA 70560 Phone: 337-365-4156 Fax: 337-365-4192 |