| Dr Charles Edward Ray, MD | |
|
1910 Johnson St, Jennings, LA 70546-3628 | |
| (337) 824-9012 | |
| (337) 824-9018 |
| Full Name | Dr Charles Edward Ray |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 44 Years |
| Location | 1910 Johnson St, Jennings, 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 |
|---|---|---|---|
| 1487732525 | NPI | - | NPPES |
| 12835 | Other | LA | LA DHH BOARD OF PHARMACY |
| 16680 | Other | LA | STATE LICENSE NUMBER |
| 721185272 | Other | LA | TAX ID |
| 1346110 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 16680 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lamm Family Care Home Health | Crowley, LA | Home health agency |
| Lamm Family Care Hospice | Crowley, LA | Hospice |
| Jennings American Legion Hospital | Jennings, LA | Hospital |
| Jeff Davis Living Center, Llc | Jennings, LA | Nursing home |
| Entity Name | Charles E. Ray, M.d. Apmc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750607412 PECOS PAC ID: 5597737486 Enrollment ID: O20100423000387 |
| Entity Name | Advantage Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689966640 PECOS PAC ID: 4486822210 Enrollment ID: O20200327001342 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Edward Ray, MD 1910 Johnson St, Jennings, LA 70546-3628 Ph: (337) 824-9012 | Dr Charles Edward Ray, MD 1910 Johnson St, Jennings, LA 70546-3628 Ph: (337) 824-9012 |
Patrick W Griffith, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1902 Johnson St, Jennings, LA 70546 Phone: 337-824-9119 Fax: 337-824-7005 | |
Dr. Michael John Benoit, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1322 Elton Rd, Suite D, Jennings, LA 70546 Phone: 337-824-1111 Fax: 337-824-1122 | |
Dr. Lam Duy Nguyen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1322 Elton Rd Ste E, Jennings, LA 70546 Phone: 337-824-6835 Fax: 337-824-8741 | |
Brian Cranford Wilder, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1322 Elton Rd, Suite H, Jennings, LA 70546 Phone: 337-246-7200 Fax: 337-246-7202 | |
Dr. Veronica Ebihomo Adoun, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1907 Johnson St, Jennings, LA 70546 Phone: 337-785-4714 | |
Quentin D Romero, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Johnson St, Suite B, Jennings, LA 70546 Phone: 337-246-3556 Fax: 337-246-3559 |