| Dr Gregory Lyon Glowacki, MD | |
|
1555 Gary Dr Ste A, Breaux Bridge, LA 70517-3448 | |
| (337) 909-2474 | |
| (337) 909-2479 |
| Full Name | Dr Gregory Lyon Glowacki |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 47 Years |
| Location | 1555 Gary Dr Ste A, Breaux Bridge, 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 |
|---|---|---|---|
| 1710917414 | NPI | - | NPPES |
| 1321010 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 015143 (Louisiana) | Secondary |
| 207P00000X | Emergency Medicine | MD.015143 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Martin Hospital | Breaux bridge, LA | Hospital |
| Beauregard Memorial Hospital | Deridder, LA | Hospital |
| Avoyelles Hospital | Marksville, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Derussy Emergency Group Llc | 3870834641 | 12 |
| St Martin Hospital Inc | 4688720782 | 13 |
| Entity Name | Eunice Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104895689 PECOS PAC ID: 3476507849 Enrollment ID: O20050309000026 |
| Entity Name | Opelousas Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477522704 PECOS PAC ID: 7719933829 Enrollment ID: O20050322000851 |
| Entity Name | Emergency Group Of St Landry Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164491320 PECOS PAC ID: 0749237212 Enrollment ID: O20050406000828 |
| Entity Name | Ambassador Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316030844 PECOS PAC ID: 9537168901 Enrollment ID: O20061212000516 |
| Entity Name | Ambassador Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134237068 PECOS PAC ID: 7810099090 Enrollment ID: O20070219000160 |
| Entity Name | St Martin Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407175615 PECOS PAC ID: 4688720782 Enrollment ID: O20101020001032 |
| Entity Name | Coolidge Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801140934 PECOS PAC ID: 4880846427 Enrollment ID: O20121206000287 |
| 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 | Derussy Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306300900 PECOS PAC ID: 3870834641 Enrollment ID: O20190403002252 |
| Entity Name | Leatherwood Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760946313 PECOS PAC ID: 0749521250 Enrollment ID: O20190410002335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory Lyon Glowacki, MD Po Box 53247, Lafayette, LA 70505-3247 Ph: (337) 289-8780 | Dr Gregory Lyon Glowacki, MD 1555 Gary Dr Ste A, Breaux Bridge, LA 70517-3448 Ph: (337) 909-2474 |
Dr. Brandon Scott Ammon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Champagne Blvd, Breaux Bridge, LA 70517 Phone: 337-332-2178 |