| Dr John A Bolin, MD | |
|
4630 Ambassador Caffery Pkwy, Ste 406, Lafayette, LA 70508-6949 | |
| (337) 989-8770 | |
| (337) 989-8768 |
| Full Name | Dr John A Bolin |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 4630 Ambassador Caffery Pkwy, Lafayette, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205811643 | NPI | - | NPPES |
| 1442291 | Medicaid | LA | |
| 1119491 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 010571 (Louisiana) | Primary |
| Entity Name | La Imaging Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568628972 PECOS PAC ID: 9234290925 Enrollment ID: O20081213000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John A Bolin, MD 4630 Ambassador Caffery Pkwy, Ste 406, Lafayette, LA 70508-6949 Ph: (337) 989-8770 | Dr John A Bolin, MD 4630 Ambassador Caffery Pkwy, Ste 406, Lafayette, LA 70508-6949 Ph: (337) 989-8770 |
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 |