| Dr Emmanuel Witherspoon, MD | |
|
301 W Boundary Ave, Winnfield, LA 71483-3427 | |
| (318) 442-2859 | |
| Not Available |
| Full Name | Dr Emmanuel Witherspoon |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 301 W Boundary Ave, Winnfield, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003860180 | NPI | - | NPPES |
| 1923231 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 07878R (Louisiana) | Primary |
| Entity Name | Acs Primary Care Physicians Louisiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306889092 PECOS PAC ID: 4486566932 Enrollment ID: O20050324000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Emmanuel Witherspoon, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Emmanuel Witherspoon, MD 301 W Boundary Ave, Winnfield, LA 71483-3427 Ph: (318) 442-2859 |
Dr. Faisal Thaljeh, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 301 W Boundary Ave, Winnfield, LA 71483 Phone: 318-747-1007 | |
Dr. Carter Whitridge Quayle, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 W Boundary Ave, Winnfield, LA 71483 Phone: 318-325-6971 | |
Dr. Ugochukwu Boniface Ike, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 W Boundary Ave, Winnfield, LA 71483 Phone: 318-329-8034 |