| Dr Jacob Edward Landry, MD | |
|
4809 Ambassador Caffery Pkwy Ste 410, Lafayette, LA 70508-8802 | |
| (337) 470-4881 | |
| (337) 470-4882 |
| Full Name | Dr Jacob Edward Landry |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 13 Years |
| Location | 4809 Ambassador Caffery Pkwy Ste 410, Lafayette, 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 |
|---|---|---|---|
| 1235495813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 304802 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of Lourdes Regional Medical Center, Inc | Lafayette, LA | Hospital |
| Park Place Surgical Hospital | Lafayette, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lourdes Physician Group Llc | 7214177757 | 120 |
| Entity Name | Lourdes Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437405883 PECOS PAC ID: 7214177757 Enrollment ID: O20130705000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Edward Landry, MD 457 Heymann Blvd, Lafayette, LA 70503 Ph: (337) 237-5774 | Dr Jacob Edward Landry, MD 4809 Ambassador Caffery Pkwy Ste 410, Lafayette, LA 70508-8802 Ph: (337) 470-4881 |
Lyndsey Nicole Bruno, Surgery Medicare: Medicare Enrolled Practice Location: 1000 W Pinhook Rd Ste 310, Lafayette, LA 70503 Phone: 337-233-9900 | |
Bennett Fontenot, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 900 E Saint Mary Blvd Ste 104, Lafayette, LA 70503 Phone: 337-504-3640 | |
Dr. James Sidney Wade Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-289-2000 | |
Dr. Dave J Barrios Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Beaullieu Dr, Bldg 3b, Lafayette, LA 70508 Phone: 337-261-9004 Fax: 337-261-9002 | |
Juan R Paredes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-261-1171 Fax: 337-261-1173 | |
Dr. Safi Haq, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1103 Kaliste Saloom Rd Ste 200, Lafayette, LA 70508 Phone: 337-470-3580 Fax: 337-470-3586 | |
Dr. Christopher E Lagraize, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 129 Rue Louis Xiv, Lafayette, LA 70508 Phone: 337-289-9700 Fax: 337-289-9702 |