| Dr Mark Allen Cimino, MD | |
|
1111 Homer Rd, Minden, LA 71055-3027 | |
| (318) 377-7500 | |
| (318) 377-2324 |
| Full Name | Dr Mark Allen Cimino |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1111 Homer Rd, Minden, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740282490 | NPI | - | NPPES |
| 1422878 | Medicaid | LA | |
| LA15018R | Other | LA | STATE MEDICAL LICENSE |
| 030637 | Other | LA | LA NARCOTIC LICENSE |
| 1422878 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15018R (Louisiana) | Primary |
| 207P00000X | Emergency Medicine | E3519 (Arkansas) | Secondary |
| 207Q00000X | Family Medicine | E3519 (Arkansas) | Secondary |
| Entity Name | Hospital Service District No. 1 Of Caldwell Parish |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306865761 PECOS PAC ID: 4587552450 Enrollment ID: O20040310001056 |
| Entity Name | Webster Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245209527 PECOS PAC ID: 2961448170 Enrollment ID: O20050628000996 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Allen Cimino, MD 1111 Homer Rd, Minden, LA 71055-3027 Ph: (318) 377-7500 | Dr Mark Allen Cimino, MD 1111 Homer Rd, Minden, LA 71055-3027 Ph: (318) 377-7500 |
Dr. Joseph E Bolger, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Office Park Drive, Minden, LA 71055 Phone: 318-377-7118 Fax: 318-377-7392 | |
Mr. Carlos Adriel Irizarry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Plaza, Minden, LA 71055 Phone: 318-377-8400 Fax: 318-377-8641 | |
Dr. John Fleming Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 208 Morris Dr, Minden, LA 71055 Phone: 318-377-8260 Fax: 318-377-9053 | |
Dr. Kathryn Ann Irizarry, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Plaza Pl, Minden, LA 71055 Phone: 318-377-8400 Fax: 318-377-8641 | |
Michael Scott Chanler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Pl, Minden, LA 71055 Phone: 318-377-7134 Fax: 318-377-7098 | |
Dr. Christopher Michael Earnhardt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Pl, Minden, LA 71055 Phone: 318-377-7134 Fax: 318-377-7098 | |
Dr. Michael Pistorius, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 208 Morris Dr, Minden, LA 71055 Phone: 318-377-8260 Fax: 318-377-9053 |