| Dr James E Lanasa Iii, MD | |
|
159 Longview Dr, Suite C, Destrehan, LA 70047-5075 | |
| (985) 764-7669 | |
| (985) 764-7650 |
| Full Name | Dr James E Lanasa Iii |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 159 Longview Dr, Destrehan, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497796536 | NPI | - | NPPES |
| 1379794 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 017706 (Louisiana) | Primary |
| 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 | Apogee Medical Group, Louisiana, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932347903 PECOS PAC ID: 8527116193 Enrollment ID: O20090508000440 |
| Entity Name | Main Street Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396150785 PECOS PAC ID: 8022331909 Enrollment ID: O20141229001749 |
| Entity Name | Hub City Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992180566 PECOS PAC ID: 3173831211 Enrollment ID: O20151009000080 |
| 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 | St. Bernard Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114432341 PECOS PAC ID: 6901166982 Enrollment ID: O20180213000790 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James E Lanasa Iii, MD 429 W Airline Hwy, Suite B, La Place, LA 70068-3817 Ph: (985) 652-5052 | Dr James E Lanasa Iii, MD 159 Longview Dr, Suite C, Destrehan, LA 70047-5075 Ph: (985) 764-7669 |
Deanna S Elsea, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13100 River Rd Ste 120, Destrehan, LA 70047 Phone: 985-764-7669 | |
Sidney H Raymond, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 13100 River Rd, Suite 120, Destrehan, LA 70047 Phone: 985-764-7669 Fax: 985-764-7234 |