| Jacob Ardoin, | |
|
1980 Tybee Ln, Lake Charles, LA 70605-4173 | |
| (337) 447-0963 | |
| (337) 477-1912 |
| Full Name | Jacob Ardoin |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 4 Years |
| Location | 1980 Tybee Ln, Lake Charles, 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 |
|---|---|---|---|
| 1629712153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 349737 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Falgoust Eye Medical And Surgical | 9739197880 | 3 |
| Entity Name | Falgoust Eye Medical and Surgical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649285040 PECOS PAC ID: 9739197880 Enrollment ID: O20060330000537 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Ardoin, Po Box 4765, Lake Charles, LA 70606-4765 Ph: (337) 477-0963 | Jacob Ardoin, 1980 Tybee Ln, Lake Charles, LA 70605-4173 Ph: (337) 447-0963 |
Margaret Young Carter, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1717 Oak Park Blvd, #1, Lake Charles, LA 70601 Phone: 337-478-3810 |
Dr. Don Alan Bravin, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1767 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-478-3810 Fax: 337-478-6360 |
Brian Mikulla, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1980 Tybee St, Lake Charles, LA 70605 Phone: 337-477-0963 Fax: 337-477-1912 |
Gerard Guidry, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1000 Walters St, Lake Charles, LA 70607 Phone: 337-480-8066 Fax: 337-480-8061 |
Alan Daniel Lacoste, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 1767 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-478-3810 Fax: 337-478-6360 |
Dr. Larry Don Stewart, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 1767 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-478-3810 Fax: 337-478-6360 |
Marcy L. Hanudel, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1767 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-478-3810 |