| Clarence Whitehead Iii, MD | |
|
600 N Lewis St, New Iberia, LA 70563-2043 | |
| (800) 893-9698 | |
| Not Available |
| Full Name | Clarence Whitehead Iii |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |