| Dr Farjaad Siddiq, MD | |
|
1715 Wolf Cir, Lake Charles, LA 70605-2353 | |
| (337) 480-7499 | |
| (337) 480-7498 |
| Full Name | Dr Farjaad Siddiq |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 28 Years |
| Location | 1715 Wolf Cir, Lake Charles, 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 |
|---|---|---|---|
| 1346231065 | NPI | - | NPPES |
| P00196869 | Other | LA | RAILROAD MEDICARE |
| 1478199 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 15753R (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Charles Memorial Hospital | Lake charles, LA | Hospital |
| West Calcasieu Cameron Hospital | Sulphur, LA | Hospital |
| Beauregard Memorial Hospital | Deridder, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Charles Medical Services Urology Llc | 4284738063 | 5 |
| Entity Name | Ochsner Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Entity Name | Lake Charles Medical Services Urology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558491803 PECOS PAC ID: 4284738063 Enrollment ID: O20070404000154 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Farjaad Siddiq, MD Po Box 122525 Dept 2525, Dallas, TX 75312-0001 Ph: (337) 494-2921 | Dr Farjaad Siddiq, MD 1715 Wolf Cir, Lake Charles, LA 70605-2353 Ph: (337) 480-7499 |
Dr. Kenneth Steven Verheeck, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 234 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-5282 Fax: 337-433-1159 | |
Stacy Mcbroom, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 2016 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-477-8861 Fax: 337-477-3092 | |
Reed A Fontenot Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2016 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-477-8861 Fax: 337-477-3092 | |
Dr. John H Upshaw Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2770 3rd Ave Ste 240, Lake Charles, LA 70601 Phone: 337-494-4656 Fax: 337-494-4657 |