| Dr Michael Pistorius, MD | |
|
208 Morris Dr, Minden, LA 71055-3053 | |
| (318) 377-8260 | |
| (318) 377-9053 |
| Full Name | Dr Michael Pistorius |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 208 Morris Dr, 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 |
|---|---|---|---|
| 1740256528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12753 (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 Michael Pistorius, MD 208 Morris Dr, Minden, LA 71055-3053 Ph: () - | Dr Michael Pistorius, MD 208 Morris Dr, Minden, LA 71055-3053 Ph: (318) 377-8260 |
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 |