| Khader Samer-fayez Shamieh, MD | |
|
76 Starbrush Cir, Covington, LA 70433-7208 | |
| (844) 800-3472 | |
| Not Available |
| Full Name | Khader Samer-fayez Shamieh |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 19 Years |
| Location | 76 Starbrush Cir, Covington, 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 |
|---|---|---|---|
| 1225249170 | NPI | - | NPPES |
| 07910 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 44456 (Arizona) | Secondary |
| 207X00000X | Orthopaedic Surgery | 202211 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avala | Covington, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diagnostic And Interventional Spinal Care Of Louisiana | 0244460293 | 10 |
| Entity Name | Diagnostic And Interventional Spinal Care Of Louisiana |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659616696 PECOS PAC ID: 0244460293 Enrollment ID: O20140313000854 |
| Entity Name | Avala Physician Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922694710 PECOS PAC ID: 8527472422 Enrollment ID: O20210204002726 |
| Mailing Address | Practice Location Address |
|---|---|
| Khader Samer-fayez Shamieh, MD 76 Starbrush Cir, Covington, LA 70433-7208 Ph: (844) 800-3472 | Khader Samer-fayez Shamieh, MD 76 Starbrush Cir, Covington, LA 70433-7208 Ph: (844) 800-3472 |
Matti W Palo Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 70411 Highway 21, Covington, LA 70433 Phone: 985-400-5566 Fax: 985-400-5560 | |
Dr. Matthew L Webb, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 71211 Highway 21, Covington, LA 70433 Phone: 985-893-9922 | |
Dr. Jeremy R James, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 76 Starbrush Cir, Covington, LA 70433 Phone: 985-400-5778 Fax: 985-888-1042 | |
Daniel Sinclair, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 19343 Sunshine Ave, Covington, LA 70433 Phone: 985-892-5117 Fax: 985-892-5128 | |
Herbert R Plauche, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 19343 Sunshine Ave, Covington, LA 70433 Phone: 985-892-5117 Fax: 985-892-5128 | |
Joseph Bonvillain, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 19343 Sunshine Ave, Covington, LA 70433 Phone: 985-892-5117 Fax: 985-892-5128 |