| Craig Jude Frederick, MD | |
|
600 N Lewis St, New Iberia, LA 70563-2043 | |
| (800) 893-9698 | |
| Not Available |
| Full Name | Craig Jude Frederick |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 34 Years |
| Location | 600 N Lewis St, 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 |
|---|---|---|---|
| 1033176185 | NPI | - | NPPES |
| 1664286 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23725 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Iberia Medical Center | New iberia, LA | Hospital |
| Opelousas General Health System | Opelousas, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parish State Emergency Physicians Llc | 5193252203 | 24 |
| Entity Name | Opelousas Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477522704 PECOS PAC ID: 7719933829 Enrollment ID: O20050322000851 |
| Entity Name | Main Street Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750796041 PECOS PAC ID: 4880917012 Enrollment ID: O20141219001279 |
| Entity Name | Riverside Emergency Physician Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083107080 PECOS PAC ID: 0042568917 Enrollment ID: O20180809000406 |
| Entity Name | Parish State Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023832870 PECOS PAC ID: 5193252203 Enrollment ID: O20241231000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Jude Frederick, MD 509 Terrell Ct, New Iberia, LA 70563-2253 Ph: () - | Craig Jude Frederick, MD 600 N Lewis St, New Iberia, LA 70563-2043 Ph: (800) 893-9698 |
Dr. Leandre W. Odom, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2313 E Main St, Suite B, New Iberia, LA 70560 Phone: 337-560-5323 Fax: 337-560-4666 | |
Chante Marie Calais-morgan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 806 Jefferson Ter, New Iberia, LA 70560 Phone: 373-654-9453 | |
Dr. Ellen Shea Mullen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2312 E Main St, Suite B, New Iberia, LA 70560 Phone: 337-364-0938 Fax: 337-359-9024 | |
Mrs. Michelle Lerouge Menard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2309 East Main Street, Suite 400, New Iberia, LA 70560 Phone: 337-367-0271 Fax: 337-364-6139 | |
George B Cousin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2309 E Main St, Ste 400, New Iberia, LA 70560 Phone: 337-367-0271 Fax: 337-364-6139 | |
Patrick Shawn Baquet, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Andre St Ste 205, New Iberia, LA 70563 Phone: 337-560-1750 Fax: 337-560-4241 |