| Dr Leroy E Fredericks, MD | |
|
2770 3rd Ave Ste 210, Lake Charles, LA 70601-0404 | |
| (337) 494-6768 | |
| (337) 494-6792 |
| Full Name | Dr Leroy E Fredericks |
|---|---|
| Gender | Male |
| Speciality | Medical Oncology |
| Experience | 28 Years |
| Location | 2770 3rd Ave Ste 210, 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 |
|---|---|---|---|
| 1043335755 | NPI | - | NPPES |
| 1491217 | Medicaid | LA | |
| MD.10005R | Other | LA | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | MD10005R (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Charles Memorial Hospital | Lake charles, LA | Hospital |
| West Calcasieu Cameron Hospital | Sulphur, LA | Hospital |
| Jennings American Legion Hospital | Jennings, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Swlhs Oncology, Inc. | 8527144062 | 7 |
| Entity Name | Swlhs Oncology, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609053081 PECOS PAC ID: 8527144062 Enrollment ID: O20080325000353 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leroy E Fredericks, MD Po Box 122579, Dept 2579, Dallas, TX 75312-2579 Ph: (337) 494-2921 | Dr Leroy E Fredericks, MD 2770 3rd Ave Ste 210, Lake Charles, LA 70601-0404 Ph: (337) 494-6768 |
Robin Ann Rougeau, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 555 South Ryan St, #101, Lake Charles, LA 70601 Phone: 337-439-0762 Fax: 337-436-8862 | |
Dr. Jean King White, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1717 Oak Park Blvd Fl 2, Lake Charles, LA 70601 Phone: 337-494-3278 Fax: 337-494-3240 | |
Dr. William R Condos Jr., M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1717 Oak Park Blvd, Fl 2, Lake Charles, LA 70601 Phone: 337-494-3278 Fax: 337-494-3240 | |
Kunwardeep Singh Arora, Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 524 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-436-2511 | |
Brooke Rozas, APRN Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 3021 Lake St, Lake Charles, LA 70601 Phone: 337-494-7090 | |
Gerald W Byrd, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-433-7350 |