| Dr Joshua Benjamin Bacon, MD | |
|
4345 Nelson Rd Ste 102, Lake Charles, LA 70605-4183 | |
| (337) 480-7900 | |
| (337) 602-6358 |
| Full Name | Dr Joshua Benjamin Bacon |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 4345 Nelson Rd Ste 102, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396274551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 323354 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Savoy Medical Center | Mamou, LA | Hospital |
| Dequincy Memorial Hospital | Dequincy, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Buxton Emergency Group Llc | 8729321344 | 4 |
| Entity Name | Evangeline Clinical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235510280 PECOS PAC ID: 3870805104 Enrollment ID: O20160223000852 |
| Entity Name | Mmg Nelson Rd Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295103844 PECOS PAC ID: 9032407663 Enrollment ID: O20161013001076 |
| Entity Name | Buxton Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845301 PECOS PAC ID: 8729321344 Enrollment ID: O20190523001057 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joshua Benjamin Bacon, MD Po Box 123594 Dept 3594, Dallas, TX 75312-0001 Ph: (337) 494-2772 | Dr Joshua Benjamin Bacon, MD 4345 Nelson Rd Ste 102, Lake Charles, LA 70605-4183 Ph: (337) 480-7900 |
Dr. Benjamin Bryce Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 771 E Bayou Pines Dr, Lake Charles, LA 70601 Phone: 337-433-1212 Fax: 337-433-0736 | |
Dr. Michael Kevin Seep, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-480-8900 Fax: 337-480-8901 | |
Dr. Melissa Lalande Rasberry, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1920 W Sale Rd, Bldg F, Suite 2, Lake Charles, LA 70605 Phone: 337-474-2856 Fax: 337-480-0645 | |
Micah Leleux, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 217 Sam Houston Jones Pkwy Ste 104, Lake Charles, LA 70611 Phone: 337-480-8989 Fax: 337-480-8988 | |
Kira Racine Groves, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-480-8900 Fax: 337-480-8901 | |
Dr. Jason P Hagen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Walters St, Lake Charles, LA 70607 Phone: 337-480-8066 Fax: 337-480-8061 | |
Elvira Delbar Kazemyan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1525 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-494-2023 Fax: 337-630-6966 |