| John E Maxwell Ii, MD | |
|
109 Circle Dr, West Monroe, LA 71291-5303 | |
| (318) 323-1834 | |
| (318) 323-0376 |
| Full Name | John E Maxwell Ii |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 36 Years |
| Location | 109 Circle Dr, West Monroe, 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 |
|---|---|---|---|
| 1942201660 | NPI | - | NPPES |
| 10984058 | Other | LA | CAQH ID# |
| 1534901 | Medicaid | LA | |
| P01310356 | Other | LA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 020373 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Citizens Medical Center | Columbia, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Delta Pathology Group Llc | 4789639089 | 29 |
| The Delta Pathology Group Llc | 4789639089 | 29 |
| Entity Name | The Delta Pathology Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548258973 PECOS PAC ID: 4789639089 Enrollment ID: O20050321000139 |
| Mailing Address | Practice Location Address |
|---|---|
| John E Maxwell Ii, MD Po Box 731280, Dallas, TX 75373-1280 Ph: (318) 841-9526 | John E Maxwell Ii, MD 109 Circle Dr, West Monroe, LA 71291-5303 Ph: (318) 323-1834 |
Nancy V Smith, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 109 Circle Dr, West Monroe, LA 71291 Phone: 318-323-1834 Fax: 318-323-0376 | |
Laura Robinson Kidd, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 503 Mcmillan Rd, West Monroe, LA 71291 Phone: 318-329-8830 | |
John M Armstrong Iii, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 109 Circle Dr, West Monroe, LA 71291 Phone: 318-323-1834 Fax: 318-323-0376 | |
Lee R Pankey, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 109 Circle Dr, West Monroe, LA 71291 Phone: 318-323-1834 Fax: 318-323-0376 | |
Abdalla L Elias, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 109 Circle Dr, West Monroe, LA 71291 Phone: 318-323-1834 Fax: 318-323-0376 |