| Dr Paul E Fenn Jr, MD | |
|
105 Patriot Ave, Suite 101, Lafayette, LA 70508 | |
| (337) 534-0653 | |
| (337) 534-0658 |
| Full Name | Dr Paul E Fenn Jr |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 19 Years |
| Location | 105 Patriot Ave, Lafayette, 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 |
|---|---|---|---|
| 1720006687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | MD.200825 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of Lourdes Regional Medical Center, Inc | Lafayette, LA | Hospital |
| Avoyelles Hospital | Marksville, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopaedic Reconstructive Sub-specialists Llc | 7416024633 | 2 |
| Clhg-avoyelles Llc | 8921380528 | 43 |
| Hawkeye Medical, Llc | 9032254685 | 21 |
| Entity Name | Orthopaedic Reconstructive Sub-specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255596490 PECOS PAC ID: 7416024633 Enrollment ID: O20080930000139 |
| Entity Name | Hawkeye Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952630360 PECOS PAC ID: 9032254685 Enrollment ID: O20100306000295 |
| Entity Name | Clhg-avoyelles Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639618853 PECOS PAC ID: 8921380528 Enrollment ID: O20180828001494 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul E Fenn Jr, MD 105 Patriot Ave, Suite 101, Lafayette, LA 70508-8520 Ph: (337) 534-0653 | Dr Paul E Fenn Jr, MD 105 Patriot Ave, Suite 101, Lafayette, LA 70508 Ph: (337) 534-0653 |
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. Julio Petilon, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 105 Patriot St, Lafayette, LA 70508 Phone: 337-981-2125 Fax: 337-981-2174 | |
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 |