| Dr Brent C Ardoin, MD | |
|
728 Poinciana Ave, Mamou, LA 70554-2208 | |
| (337) 468-0267 | |
| (337) 468-2438 |
| Full Name | Dr Brent C Ardoin |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 42 Years |
| Location | 728 Poinciana Ave, Mamou, 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 |
|---|---|---|---|
| 1265446389 | NPI | - | NPPES |
| 1347698 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 017630 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Nursing Specialties | Lafayette, LA | Home health agency |
| Savoy Medical Center | Mamou, LA | Hospital |
| Mercy Regional Medical Center | Ville platte, LA | Hospital |
| Opelousas General Health System | Opelousas, LA | Hospital |
| Basile Care Center | Basile, LA | Nursing home |
| Savoy Care Center | Mamou, LA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Savoy Medical Management Group, Inc | 1557403953 | 33 |
| Entity Name | Savoy Medical Management Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477882033 PECOS PAC ID: 1557403953 Enrollment ID: O20100427000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brent C Ardoin, MD 728 Poinciana Ave, Mamou, LA 70554-2208 Ph: (337) 468-0267 | Dr Brent C Ardoin, MD 728 Poinciana Ave, Mamou, LA 70554-2208 Ph: (337) 468-0267 |
Hossam Abdelmonem Abdel-rahman, MEDIAL DOCTOR Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 803 Poinciana Ave, Mamou, LA 70554 Phone: 337-468-3099 Fax: 337-468-3083 | |
John P. Fontenot, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 7th St, Suite J, Mamou, LA 70554 Phone: 337-468-5150 Fax: 337-468-5155 |