| Dr Faisal Thaljeh, MD | |
|
301 W Boundary Ave, Winnfield, LA 71483-3427 | |
| (318) 747-1007 | |
| Not Available |
| Full Name | Dr Faisal Thaljeh |
|---|---|
| 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 |
|---|---|---|---|
| 1386698462 | NPI | - | NPPES |
| P00979659 | Other | LA | RRMCARE THRU GPN MANY |
| 1049077 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 14353R (Louisiana) | Primary |
| 207R00000X | Internal Medicine | MD.14353R (Louisiana) | Secondary |
| 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 | Allegiance Hospital Of Many, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568626273 PECOS PAC ID: 3274607551 Enrollment ID: O20080924000306 |
| Entity Name | Jena Ess Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235544115 PECOS PAC ID: 7810116258 Enrollment ID: O20140916002675 |
| 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 | Hospitalist Medicine Physicians Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20151021000365 |
| 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 | Hodges Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710441316 PECOS PAC ID: 2567703978 Enrollment ID: O20190412000898 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Faisal Thaljeh, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Faisal Thaljeh, MD 301 W Boundary Ave, Winnfield, LA 71483-3427 Ph: (318) 747-1007 |
Dr. Emmanuel Witherspoon, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 301 W Boundary Ave, Winnfield, LA 71483 Phone: 318-442-2859 | |
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 |