| Dr Ezekiel J Wetzel, MD | |
|
1501 Kings Hwy, Department Of Anesthesia, Shreveport, LA 71103-4228 | |
| (318) 675-5298 | |
| (318) 675-6681 |
| Full Name | Dr Ezekiel J Wetzel |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 22 Years |
| Location | 1501 Kings Hwy, Shreveport, 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 |
|---|---|---|---|
| 1215913611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A90433 (California) | Secondary |
| 207L00000X | Anesthesiology | MD.201152 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Medical Center | Monroe, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Smso Anesthesia, Llc | 7012970627 | 45 |
| Entity Name | Smso Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730134636 PECOS PAC ID: 7012970627 Enrollment ID: O20041104001054 |
| Entity Name | Lafayette Health Ventures Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417986092 PECOS PAC ID: 9335043074 Enrollment ID: O20041105000263 |
| Entity Name | Brfhh Monroe Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811324882 PECOS PAC ID: 0042446577 Enrollment ID: O20140403001947 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ezekiel J Wetzel, MD 9505 Rhapsody Ln, Shreveport, LA 71118-4245 Ph: (318) 675-5298 | Dr Ezekiel J Wetzel, MD 1501 Kings Hwy, Department Of Anesthesia, Shreveport, LA 71103-4228 Ph: (318) 675-5298 |
Aya Mouhaffel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Dr. James Williams, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Mary Pl, Shreveport, LA 71101 Phone: 318-681-4440 | |
Maurice Hawley, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2600 Greenwood Rd, Shreveport, LA 71103 Phone: 972-664-6963 Fax: 770-237-4731 | |
Hiram Vazquez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3217 Mabel St, Shreveport, LA 71103 Phone: 318-631-9121 Fax: 318-631-9126 | |
Azem Chami, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Cleveland S Waterman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5581 | |
Dr. Akmal A Mikhail I, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 |