| George Thomas Waterfallen, MD | |
|
323 West Walnut, Bastrop, LA 71220 | |
| (800) 893-9698 | |
| Not Available |
| Full Name | George Thomas Waterfallen |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 47 Years |
| Location | 323 West Walnut, Bastrop, 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 |
|---|---|---|---|
| 1831123132 | NPI | - | NPPES |
| 1345598 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD.014605 (Louisiana) | Primary |
| 207P00000X | Emergency Medicine | 014605 (Louisiana) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cornerstone Therapy And Balance Center Llc | 0345397899 | 75 |
| Winn Community Health Center, Inc. | 2567516545 | 48 |
| Louisiana Family Medicine Clinic 1 | 4183889009 | 6 |
| Entity Name | Acadia-st. Landry Hospital Service District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518981968 PECOS PAC ID: 3476458092 Enrollment ID: O20031205000219 |
| Entity Name | East Carroll Parish Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982695441 PECOS PAC ID: 1153216619 Enrollment ID: O20040216000563 |
| 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 | Winn Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275769119 PECOS PAC ID: 2567516545 Enrollment ID: O20090918000491 |
| Entity Name | Louisiana Family Medicine Clinic 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548538200 PECOS PAC ID: 4183889009 Enrollment ID: O20120627000379 |
| Entity Name | Evangeline Clinical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235510280 PECOS PAC ID: 3870805104 Enrollment ID: O20160223000852 |
| Mailing Address | Practice Location Address |
|---|---|
| George Thomas Waterfallen, MD 200 Corporate Blvd, Ste 201, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | George Thomas Waterfallen, MD 323 West Walnut, Bastrop, LA 71220 Ph: (800) 893-9698 |