| Dr Ugochukwu Boniface Ike, MD | |
|
301 W Boundary Ave, Winnfield, LA 71483-3427 | |
| (318) 329-8034 | |
| Not Available |
| Full Name | Dr Ugochukwu Boniface Ike |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 47 Years |
| Location | 301 W Boundary Ave, Winnfield, 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 |
|---|---|---|---|
| 1578517652 | NPI | - | NPPES |
| 1553948 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 12960R (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Springhill Medical Center | Springhill, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concord Medical Group Pllc | 0446296818 | 158 |
| Entity Name | Homer Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609066646 PECOS PAC ID: 1456322692 Enrollment ID: O20040803000291 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20040816000150 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20140930001176 |
| Entity Name | Nes Louisiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669922431 PECOS PAC ID: 5496651002 Enrollment ID: O20161116002239 |
| Entity Name | Saline Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114481769 PECOS PAC ID: 1153662598 Enrollment ID: O20190411000953 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ugochukwu Boniface Ike, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Ugochukwu Boniface Ike, MD 301 W Boundary Ave, Winnfield, LA 71483-3427 Ph: (318) 329-8034 |
Dr. Emmanuel Witherspoon, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 301 W Boundary Ave, Winnfield, LA 71483 Phone: 318-442-2859 | |
Dr. Faisal Thaljeh, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 301 W Boundary Ave, Winnfield, LA 71483 Phone: 318-747-1007 | |
Dr. Carter Whitridge Quayle, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 W Boundary Ave, Winnfield, LA 71483 Phone: 318-325-6971 |