| Lance Fogleman, | |
|
1214 Coolidge Blvd, Lafayette, LA 70503-2621 | |
| (337) 501-3698 | |
| Not Available |
| Full Name | Lance Fogleman |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1214 Coolidge Blvd, Lafayette, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033476379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD207073 (Louisiana) | Primary |
| Entity Name | Ambassador Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316030844 PECOS PAC ID: 9537168901 Enrollment ID: O20061212000516 |
| Entity Name | Acadiana Acute Care Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255566626 PECOS PAC ID: 0547390056 Enrollment ID: O20100610000065 |
| Entity Name | Coolidge Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801140934 PECOS PAC ID: 4880846427 Enrollment ID: O20121206000287 |
| Entity Name | Crowley Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508275538 PECOS PAC ID: 1456572965 Enrollment ID: O20141027002233 |
| Mailing Address | Practice Location Address |
|---|---|
| Lance Fogleman, 517 E Demanade Dr, Lafayette, LA 70503-2551 Ph: (337) 501-3698 | Lance Fogleman, 1214 Coolidge Blvd, Lafayette, LA 70503-2621 Ph: (337) 501-3698 |
Dr. Lovelace Joseph Luquette Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 219 Waterford Dr, Lafayette, LA 70503 Phone: 337-984-8910 | |
Dr. Walter Edward Norton, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Ruthwood Drive, Lafayette, LA 70503 Phone: 337-406-0390 | |
Braden Conrad Despot, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Travis St Ste 201, Lafayette, LA 70503 Phone: 337-233-9199 Fax: 337-233-9198 | |
Vinay Kumar Juneja, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5000 Ambassador Caffery Pkwy Ste A, Lafayette, LA 70508 Phone: 337-534-0952 | |
Marc Fernandez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 Rue Louis Xiv Bldg 5, Lafayette, LA 70508 Phone: 337-269-7494 | |
Collins T Kgoadi, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506 Phone: 337-981-2949 |