| John Bradford Carlin, MD | |
|
424 W Mcneese St, Lake Charles, LA 70605-5547 | |
| (337) 478-0511 | |
| (337) 478-5644 |
| Full Name | John Bradford Carlin |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 424 W Mcneese St, Lake Charles, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023082104 | NPI | - | NPPES |
| 1963526 | Medicaid | LA | |
| 050025305 | Other | LA | RAILROAD MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 20115 (Louisiana) | Primary |
| Entity Name | Lake Charles Anesthesiology, Apmc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588674790 PECOS PAC ID: 6800867714 Enrollment ID: O20040804000651 |
| Mailing Address | Practice Location Address |
|---|---|
| John Bradford Carlin, MD 424 W Mcneese St, Lake Charles, LA 70605-5547 Ph: (337) 478-0511 | John Bradford Carlin, MD 424 W Mcneese St, Lake Charles, LA 70605-5547 Ph: (337) 478-0511 |
Michael T Shandersky, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 751 E Bayou Pines Dr, Suite L, Lake Charles, LA 70601 Phone: 337-436-8700 Fax: 337-433-5942 | |
Russell A Guidry, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 424 W Mcneese St, Lake Charles, LA 70605 Phone: 337-478-0511 Fax: 337-478-5644 | |
Myra Clavier Wise, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 424 W Mcneese St, Lake Charles, LA 70605 Phone: 337-478-0511 Fax: 337-478-5644 | |
Dwane Anthony Belaire, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 424 W Mcneese St, Lake Charles, LA 70605 Phone: 337-478-0511 Fax: 337-478-5644 | |
Jere K Price Jr., MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4150 Nelson Rd, A 4 Anesthesia Associates, Lake Charles, LA 70605 Phone: 337-474-6353 Fax: 337-477-7616 | |
Miss Shelby Henssler Viga, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-494-4178 Fax: 337-494-6518 |