| Jose Mauricio Gonzales, MD | |
|
2509 Maplewood Dr., Sulphur, LA 70663 | |
| (337) 625-0341 | |
| (337) 625-0347 |
| Full Name | Jose Mauricio Gonzales |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 2509 Maplewood Dr., Sulphur, 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 |
|---|---|---|---|
| 1144221615 | NPI | - | NPPES |
| 1682969 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22265 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Calcasieu Cameron Hospital Hha | Sulphur, LA | Home health agency |
| Brighton Bridge | Oberlin, LA | Hospice |
| West Calcasieu Cameron Hospital | Sulphur, LA | Hospital |
| High Hope Care Center | Sulphur, LA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Practice Center Of Sulphur, Llc | 3779575345 | 3 |
| Entity Name | Family Practice Center Of Sulphur, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710188610 PECOS PAC ID: 3779575345 Enrollment ID: O20040401001658 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Mauricio Gonzales, MD 2509 Maplewood Dr, Sulphur, LA 70663 Ph: (337) 625-0341 | Jose Mauricio Gonzales, MD 2509 Maplewood Dr., Sulphur, LA 70663 Ph: (337) 625-0341 |
Dr. Maureen Rose Lannan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 622 Cypress St, Sulphur, LA 70663 Phone: 337-527-2491 Fax: 337-528-2749 | |
Rebecca Braud, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1327 Stelly Ln Ste 3, Sulphur, LA 70663 Phone: 337-528-7316 Fax: 337-528-7884 | |
Dr. Marne' Eve Devillier, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3702 Maplewood Dr, Sulphur, LA 70663 Phone: 337-625-5459 Fax: 337-626-2045 | |
Dr. Tammy Mitchell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 S Cities Service Hwy, Sulphur, LA 70663 Phone: 337-287-4820 | |
Brian Wayne Stewart, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2509 Maplewood Dr, Sulphur, LA 70663 Phone: 337-625-0341 Fax: 337-625-0347 | |
Dr. Roger G Grimball, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 920 1st Ave, Sulphur, LA 70663 Phone: 337-527-6301 Fax: 337-527-9194 |