| Dr Alain Lesage Fondjo Domkam, MD | |
|
302 8th St, Greenwood, MS 38930-4014 | |
| (662) 451-4570 | |
| (662) 451-5140 |
| Full Name | Dr Alain Lesage Fondjo Domkam |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 29 Years |
| Location | 302 8th St, Greenwood, Mississippi |
| 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 |
|---|---|---|---|
| 1962603886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 19760 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkview Medical Center, Inc | Pueblo, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Center For Podiatry Care | 8022048222 | 8 |
| Parkview Ancillary Services Corporation | 4385722511 | 273 |
| Entity Name | Health Services Of Central Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184679482 PECOS PAC ID: 9638076730 Enrollment ID: O20031217000270 |
| Entity Name | Center For Podiatry Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174695357 PECOS PAC ID: 8022048222 Enrollment ID: O20050817000660 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alain Lesage Fondjo Domkam, MD 302 8th St, Greenwood, MS 38930-4014 Ph: (662) 451-4570 | Dr Alain Lesage Fondjo Domkam, MD 302 8th St, Greenwood, MS 38930-4014 Ph: (662) 451-4570 |
John Fair Lucas Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 W Washington St, Greenwood, MS 38930 Phone: 662-453-4641 Fax: 662-455-4731 | |
Douglas Edward Bowden, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 W Washington St, Greenwood, MS 38930 Phone: 662-453-4641 Fax: 662-455-4731 | |
Christopher Conrad Capel, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 501 W Washington St, Greenwood, MS 38930 Phone: 662-453-4641 |