Dr Fidencio Hernan Davalos, MD in Lake Charles, LA

Dr Fidencio Hernan Davalos, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Lake Charles, Louisiana. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Calcasieu Cameron Hospital Service District, Lcms Pulmonary Associates Of Southwest Louisiana and his current practice location is 2770 3rd Ave Ste 350, Lake Charles, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 494-2750.

Dr Fidencio Hernan Davalos is licensed to practice in New York (license number 287474) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265872725.

Contact Information

	Dr Fidencio Hernan Davalos, MD
	2770 3rd Ave Ste 350, Lake Charles, LA 70601-0404
	(337) 494-2750
	(337) 494-2760

Map and Direction

Physician's Profile

Full Name	Dr Fidencio Hernan Davalos
Gender	Male
Speciality	Internal Medicine
Experience	13 Years
Location	2770 3rd Ave Ste 350, 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.

Medical Education and Training:

Dr Fidencio Hernan Davalos graduated from medical school in 2011

NPI Data:

NPI Number: 1265872725
Provider Enumeration Date: 06/28/2013
Last Update Date: 03/16/2022

Medicare PECOS Information:

PECOS PAC ID: 0749553550
Enrollment ID: I20200713002015

Medical Identifiers

Medical identifiers for Dr Fidencio Hernan Davalos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265872725	NPI	-	NPPES
2528696	Medicaid	LA
MD.322076	Other	LA	STATE MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD2017-0687 (New Mexico)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	322076 (Louisiana)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	287474 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lake Charles Memorial Hospital	Lake charles, LA	Hospital
West Calcasieu Cameron Hospital	Sulphur, LA	Hospital
Byrd Regional Hospital	Leesville, LA	Hospital
Christus Ochsner St Patrick Hospital	Lake charles, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Calcasieu Cameron Hospital Service District	1052221447	35
Lcms Pulmonary Associates Of Southwest Louisiana	0446439939	7

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Fidencio Hernan Davalos allows following entities to bill medicare on his behalf.

Entity Name	Calcasieu Cameron Hospital Service District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093719932 PECOS PAC ID: 1052221447 Enrollment ID: O20081104000079

Entity Name	Lcms Pulmonary Associates Of Southwest Louisiana
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508175704 PECOS PAC ID: 0446439939 Enrollment ID: O20110131000436

Entity Name	Professional Emergency Medicine Management -- Lake Charles Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023430766 PECOS PAC ID: 7012131378 Enrollment ID: O20140609000077

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Fidencio Hernan Davalos is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Fidencio Hernan Davalos, MD Po Box 122309 Dept 2309, Dallas, TX 75312-0001 Ph: (337) 494-2772	Dr Fidencio Hernan Davalos, MD 2770 3rd Ave Ste 350, Lake Charles, LA 70601-0404 Ph: (337) 494-2750

Reviews and Comments

Internal Medicine Doctors in Lake Charles, LA

Robin Ann Rougeau, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 South Ryan St, #101, Lake Charles, LA 70601 Phone: 337-439-0762 Fax: 337-436-8862
Dr. Jean King White, MD Critical Care Medicine Medicare: May Accept Medicare Assignments Practice Location: 1717 Oak Park Blvd Fl 2, Lake Charles, LA 70601 Phone: 337-494-3278 Fax: 337-494-3240
Dr. William R Condos Jr., M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1717 Oak Park Blvd, Fl 2, Lake Charles, LA 70601 Phone: 337-494-3278 Fax: 337-494-3240
Dr. Leroy E Fredericks, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2770 3rd Ave Ste 210, Lake Charles, LA 70601 Phone: 337-494-6768 Fax: 337-494-6792
Gerald W Byrd, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-433-7350
Hari Bogabathina, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1717 Oak Park Blvd Fl 2, Lake Charles, LA 70601 Phone: 337-494-3278 Fax: 337-494-3240
Dr. Eric Charles Fontenot, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2770 3rd Ave Ste 345, Lake Charles, LA 70601 Phone: 337-494-4785 Fax: 337-494-4786

Dr Fidencio Hernan Davalos, MD - Medicare Internal Medicine in Lake Charles, LA