| Dr W B Kimbrough Iii, MD | |
|
1014 Saint Clair Blvd, Suite 3015, Gonzales, LA 70737-5023 | |
| (225) 743-2455 | |
| (225) 644-5213 |
| Full Name | Dr W B Kimbrough Iii |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 19 Years |
| Location | 1014 Saint Clair Blvd, Gonzales, 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 |
|---|---|---|---|
| 1871772202 | NPI | - | NPPES |
| 1508543 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD202378 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
| Entity Name | Our Lady Of Lake Ascension, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306899067 PECOS PAC ID: 3577452259 Enrollment ID: O20040311000822 |
| Entity Name | Woman's Surgical Specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215236229 PECOS PAC ID: 9537346382 Enrollment ID: O20110606000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr W B Kimbrough Iii, MD 1014 Saint Clair Blvd, Suite 3015, Gonzales, LA 70737-5023 Ph: (225) 743-2455 | Dr W B Kimbrough Iii, MD 1014 Saint Clair Blvd, Suite 3015, Gonzales, LA 70737-5023 Ph: (225) 743-2455 |
Benjamin Michael Robichaux, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1014 Saint Clair Blvd Ste 1000, Gonzales, LA 70737 Phone: 225-215-4417 Fax: 225-390-1414 | |
Dr. James Newman Williams, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1014 Saint Clair Blvd, Suite 3015, Gonzales, LA 70737 Phone: 225-743-2455 Fax: 225-743-2459 | |
Karippelil E. Mathew, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 721 E Highway 30, Gonzales, LA 70737 Phone: 225-644-7337 Fax: 225-644-5202 | |
Amy E Ocmand, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1014 Saint Clair Blvd, Suite 3015, Gonzales, LA 70737 Phone: 225-743-2455 Fax: 225-644-5213 | |
Dr. Stephen Bernard Manale, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1014 West St. Clare Blvd, Suite 3015, Gonzales, LA 70737 Phone: 225-743-2455 Fax: 225-743-2460 |