| Dr Julio Petilon, MD | |
|
105 Patriot St, Lafayette, LA 70508-6831 | |
| (337) 981-2125 | |
| (337) 981-2174 |
| Full Name | Dr Julio Petilon |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 105 Patriot St, 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 |
|---|---|---|---|
| 1245205020 | NPI | - | NPPES |
| 7100128410 | Medicaid | KY | |
| 200995080 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 73625 (Georgia) | Secondary |
| 207X00000X | Orthopaedic Surgery | 343117 (Louisiana) | Primary |
| Entity Name | Regenerative Orthopaedics And Spine Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568858231 PECOS PAC ID: 8729397617 Enrollment ID: O20151015000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Julio Petilon, MD 105 Patriot St, Lafayette, LA 70508-6831 Ph: (337) 981-2125 | Dr Julio Petilon, MD 105 Patriot St, Lafayette, LA 70508-6831 Ph: (337) 981-2125 |
Otis Rashad Drew, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4212 W Congress St Ste 3100, Lafayette, LA 70506 Phone: 337-703-3201 Fax: 337-703-3202 | |
David Scott Muldowny, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1103 Kaliste Saloom Rd, Suite 102, Lafayette, LA 70508 Phone: 337-234-5234 Fax: 337-235-2121 | |
Dr. James Barrett Kyle, M.D., D.V.M. Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 108 Rue Louis Xiv, Lafayette, LA 70508 Phone: 337-235-8007 Fax: 855-270-5479 | |
Dr. J Hugh Larriviere, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2600 Johnston St, Ste 200, Lafayette, LA 70503 Phone: 337-232-1234 | |
Thomas T Wood, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 108 Rue Louis Xiv, Lafayette, LA 70508 Phone: 337-235-8007 Fax: 337-235-8008 | |
Brian Edward Etier Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4212 W Congress St Ste 3100, Lafayette, LA 70506 Phone: 337-703-3201 Fax: 337-703-3202 |