| Garth Thesieger King, MD | |
|
701 Cypress St, Sulphur, LA 70663-5053 | |
| (800) 893-9698 | |
| Not Available |
| Full Name | Garth Thesieger King |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 22 Years |
| Location | 701 Cypress St, Sulphur, 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 |
|---|---|---|---|
| 1598775355 | NPI | - | NPPES |
| 1058394 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 200225 (Louisiana) | Secondary |
| 207R00000X | Internal Medicine | 200225 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grace Home Health | Lafayette, LA | Home health agency |
| Amedisys Home Health | Lafayette, LA | Home health agency |
| Nursing Specialties | Lafayette, LA | Home health agency |
| Concepts Of Care Home Health, Inc | Lafayette, LA | Home health agency |
| Lafayette General Medical Center | Lafayette, LA | Hospital |
| Louisiana Extended Care Hospital Of Lafayette | Lafayette, LA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Checkup Llc | 0446536288 | 3 |
| Coolidge Physician Services Llc | 7113156035 | 37 |
| Ambassador Physician Services Llc | 7810099090 | 11 |
| Entity Name | Ambassador Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134237068 PECOS PAC ID: 7810099090 Enrollment ID: O20070219000160 |
| Entity Name | Coolidge Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609298843 PECOS PAC ID: 7113156035 Enrollment ID: O20140218001309 |
| Entity Name | Checkup Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790226611 PECOS PAC ID: 0446536288 Enrollment ID: O20170411001139 |
| Mailing Address | Practice Location Address |
|---|---|
| Garth Thesieger King, MD 200 Corporate Blvd, Ste 201, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Garth Thesieger King, MD 701 Cypress St, Sulphur, LA 70663-5053 Ph: (800) 893-9698 |
Dr. Christina Elaine Jones, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1831 W Burton St, Sulphur, LA 70663 Phone: 305-519-0281 Fax: 877-794-0365 | |
Dr. Yazan Ali Alqara, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 920 1st Ave, Sulphur, LA 70663 Phone: 504-339-4449 |