| Dr Clinton Ross, MD | |
|
2686 Newberry Station Dr, Lake Charles, LA 70611-3984 | |
| (337) 485-7600 | |
| (337) 485-7700 |
| Full Name | Dr Clinton Ross |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2686 Newberry Station Dr, Lake Charles, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649700527 | NPI | - | NPPES |
| 1551228 | Medicaid | LA | |
| 1063569648 | Other | GROUP NPI | |
| 2470299 | Medicaid | LA | |
| 119512900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME161304 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 309749 (Louisiana) | Primary |
| Entity Name | Womans Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730512906 PECOS PAC ID: 5496984296 Enrollment ID: O20140127000496 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clinton Ross, MD 2686 Newberry Station Dr, Lake Charles, LA 70611-3984 Ph: (337) 485-7600 | Dr Clinton Ross, MD 2686 Newberry Station Dr, Lake Charles, LA 70611-3984 Ph: (337) 485-7600 |
Dr. David Buttross Iii, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 333 Dr Michael Debakey Dr, Suite 220, Lake Charles, LA 70601 Phone: 337-478-9331 Fax: 337-478-9828 | |
Jeremy Bernard Sanders, APRN, PMHNP-BC Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 314 W Hale St, Lake Charles, LA 70601 Phone: 337-660-8918 Fax: 337-433-3013 | |
Dr. Michael Boyd Wright, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2829 4th Ave Ste 150, Lake Charles, LA 70601 Phone: 373-480-7800 Fax: 337-474-4552 | |
Mr. Timothy R Best, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 707 Dr. Michael Debakey Drive, Lake Charles, LA 70601 Phone: 337-433-0762 Fax: 337-433-4868 | |
Andrea St. Clair, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3601 Gerstner Memorial Drive, Hwy 14, Lake Charles, LA 70607 Phone: 337-475-9500 | |
Murali Krishna Bogavalli, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-480-8900 Fax: 337-480-8901 | |
Ramin Shahla, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2837 Ernest Street, Calcacien Oak Hospital, Lake Charles, LA 70601 Phone: 337-439-8111 Fax: 337-439-1970 |