| Kenneth W Leger, MD | |
|
203 E Miller Ave Ste B, Iowa, LA 70647-4075 | |
| (337) 582-7632 | |
| (337) 582-7656 |
| Full Name | Kenneth W Leger |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 13 Years |
| Location | 203 E Miller Ave Ste B, Iowa, 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 |
|---|---|---|---|
| 1932543915 | NPI | - | NPPES |
| 2331426 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 305225 (Louisiana) | Secondary |
| 207R00000X | Internal Medicine | 305225 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Lake charles, LA | Home health agency |
| Dequincy Home Health | Dequincy, LA | Home health agency |
| Hh Agency Of Lake Charles Memo | Lake charles, LA | Home health agency |
| Lake Charles Memorial Hospital | Lake charles, LA | Hospital |
| Christus Ochsner St Patrick Hospital | Lake charles, LA | Hospital |
| Christus Ochsner Lake Area Hospital | Lake charles, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Charles Medical Services, Inc | 1456315050 | 2 |
| Entity Name | Lake Charles Medical Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134271497 PECOS PAC ID: 1456315050 Enrollment ID: O20051013000887 |
| Entity Name | Calcasieu Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467715490 PECOS PAC ID: 5496908071 Enrollment ID: O20130109000768 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth W Leger, MD Po Box 123604 Dept 3604, Dallas, TX 75312-3604 Ph: (337) 494-2921 | Kenneth W Leger, MD 203 E Miller Ave Ste B, Iowa, LA 70647-4075 Ph: (337) 582-7632 |