Clarence Whitehead Iii, MD | |
600 N Lewis St, New Iberia, LA 70563-2043 | |
(800) 893-9698 | |
Not Available |
Full Name | Clarence Whitehead Iii |
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Gender | Male |
Speciality | Surgery |
Location | 600 N Lewis St, New Iberia, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326005406 | NPI | - | NPPES |
P00285996 | Other | RAILROAD MEDICARE | |
1683906 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 022961 (Louisiana) | Primary |
207P00000X | Emergency Medicine | 022961 (Louisiana) | Secondary |
Entity Name | Abbeville Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760799290 PECOS PAC ID: 3375731185 Enrollment ID: O20101221000525 |
Mailing Address | Practice Location Address |
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Clarence Whitehead Iii, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: () - | Clarence Whitehead Iii, MD 600 N Lewis St, New Iberia, LA 70563-2043 Ph: (800) 893-9698 |
William W Harkrider Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 602 N Lewis St, Ste 100, New Iberia, LA 70563 Phone: 337-364-7226 Fax: 337-364-7238 | |
Dr. Jason C Morvant, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4207 E Old Jeanerette Road, New Iberia, LA 70560 Phone: 337-364-7226 | |
Henry Joseph Kaufman Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 N Lewis St, New Iberia, LA 70563 Phone: 800-893-9698 | |
Thomas Aaron Borland, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2312 E Main St, Ste D, New Iberia, LA 70560 Phone: 337-364-0809 Fax: 337-364-0895 | |
Dr. Edward W Dauterive Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 Andre St, New Iberia, LA 70563 Phone: 337-369-9309 Fax: 337-365-8455 | |
Kurt B Obrien, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 602 N Lewis St, Ste 100, New Iberia, LA 70563 Phone: 337-364-7226 Fax: 337-364-7238 |