| Dr Ewell Bickham Iii, | |
|
5266 Commerce St, Saint Francisville, LA 70775-4409 | |
| (225) 635-2436 | |
| (225) 635-2435 |
| Full Name | Dr Ewell Bickham Iii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 31 Years |
| Location | 5266 Commerce St, Saint Francisville, 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 |
|---|---|---|---|
| 1073565370 | NPI | - | NPPES |
| 1490342 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 022207 (Louisiana) | Secondary |
| 207P00000X | Emergency Medicine | MD.022207 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Madison Parish Hospital | Tallulah, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oakdale Ess Llc | 7517289713 | 19 |
| Entity Name | Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20050610000177 |
| Entity Name | Jena Ess Hospitalist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144635020 PECOS PAC ID: 5294954533 Enrollment ID: O20140918000317 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20140930001176 |
| Entity Name | Oakdale Ess Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750785119 PECOS PAC ID: 7517289713 Enrollment ID: O20141125000402 |
| Entity Name | Concord North Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952761173 PECOS PAC ID: 2860791688 Enrollment ID: O20170922000452 |
| Entity Name | Saline Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114481769 PECOS PAC ID: 1153662598 Enrollment ID: O20190411000953 |
| Entity Name | South Central Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427611854 PECOS PAC ID: 6507195492 Enrollment ID: O20191022002061 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ewell Bickham Iii, Po Box 368, Saint Francisville, LA 70775-0368 Ph: (225) 635-3811 | Dr Ewell Bickham Iii, 5266 Commerce St, Saint Francisville, LA 70775-4409 Ph: (225) 635-2436 |