| George Fakhre, | |
|
221 N Hood, Lake Providence, LA 71254 | |
| (318) 559-1221 | |
| Not Available |
| Full Name | George Fakhre |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 39 Years |
| Location | 221 N Hood, Lake Providence, 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 |
|---|---|---|---|
| 1750310272 | NPI | - | NPPES |
| 1534641 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 12401R (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Carroll Mem. Hospital Home | Oak grove, LA | Home health agency |
| East Carroll Parish Hospital | Lake providence, LA | Hospital |
| St Francis Medical Center | Monroe, LA | Hospital |
| Shady Lake Nursing Home | Lake providence, LA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Carroll Health Systems, Llc | 5294627774 | 8 |
| Entity Name | West Carroll Health Systems, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386700888 PECOS PAC ID: 5294627774 Enrollment ID: O20040402000229 |
| Entity Name | West Carroll Health Systems, Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255455390 PECOS PAC ID: 5294627774 Enrollment ID: O20230605001961 |
| Entity Name | West Carroll Health Systems, Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1306843826 PECOS PAC ID: 5294627774 Enrollment ID: O20230609000635 |
| Mailing Address | Practice Location Address |
|---|---|
| George Fakhre, 706 Ross St, Oak Grove, LA 71263-9798 Ph: (318) 428-4964 | George Fakhre, 221 N Hood, Lake Providence, LA 71254 Ph: (318) 559-1221 |
Dr. Llewellyn Simon, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 320 N Hood St, Lake Providence, LA 71254 Phone: 318-559-2404 Fax: 318-559-2430 |