| Keith James Lacour, MD | |
|
1600 Sw Archer Rd, Gainesville, FL 32610-3003 | |
| (352) 265-0438 | |
| Not Available |
| Full Name | Keith James Lacour |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 1600 Sw Archer Rd, Gainesville, Florida |
| 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 |
|---|---|---|---|
| 1518182500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 001963 (Georgia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME109906 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Tammany Parish Hospital | Covington, LA | Hospital |
| Our Lady Of The Angels Hospital | Bogalusa, LA | Hospital |
| Ochsner Clinic Foundation | New orleans, LA | Hospital |
| Riverside Medical Center | Franklinton, LA | Hospital |
| Tulane Medical Center | New orleans, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regional Radiology, Llc | 2860404811 | 39 |
| Our Lady Of The Angels Hospital Inc | 7012144322 | 74 |
| Entity Name | Regional Radiology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336192863 PECOS PAC ID: 2860404811 Enrollment ID: O20060613000013 |
| Entity Name | Our Lady Of The Angels Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912334533 PECOS PAC ID: 7012144322 Enrollment ID: O20140602000869 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith James Lacour, MD Po Box 918025, Orlando, GA 32891-8025 Ph: (352) 265-0438 | Keith James Lacour, MD 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 265-0438 |
Dr. Will F Williams, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6716 Nw 11th Place, Ste 200, Gainesville, FL 32605 Phone: 352-331-9729 Fax: 352-331-0136 | |
Patricia Perdigon Moser, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0291 Fax: 352-265-0279 | |
Dr. Sean Joseph Brennan, MD Radiology Medicare: Medicare Enrolled Practice Location: 1601 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-376-1611 | |
Erica May, RT(R)(CT) Radiology Medicare: Not Enrolled in Medicare Practice Location: 205 Se 16th Ave Apt 6d, Gainesville, FL 32601 Phone: 219-218-1829 | |
Dr. Alexandre Dias Mancano, MD, PHD Radiology Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0104 | |
Giovanni Brondani Torri, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0291 | |
Matthew Gregory Wrench, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Road, Gainesville, FL 32610 Phone: 352-265-0291 |