| Larry Justin Doughty, MD | |
|
3444 Masonic Drive, Alexandria, LA 71301 | |
| (318) 473-9556 | |
| (318) 441-8339 |
| Full Name | Larry Justin Doughty |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 9 Years |
| Location | 3444 Masonic Drive, Alexandria, 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 |
|---|---|---|---|
| 1922549211 | NPI | - | NPPES |
| 2440985 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 310787 (Louisiana) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 310878 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Central Louisiana Surgical Hospital | Alexandria, LA | Hospital |
| Christus St Frances Cabrini Hospital | Alexandria, LA | Hospital |
| Lasalle General Hospital | Jena, LA | Hospital |
| Winn Parish Medical Center | Winnfield, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid State Orthopaedic And Sports Medicine Center Llc | 6204892540 | 27 |
| Entity Name | Mid State Orthopaedic & Sports Medicine Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104890052 PECOS PAC ID: 6204892540 Enrollment ID: O20041208000292 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Justin Doughty, MD 3444 Masonic Drive, Alexandria, LA 71301 Ph: (318) 473-9556 | Larry Justin Doughty, MD 3444 Masonic Drive, Alexandria, LA 71301 Ph: (318) 473-9556 |
Melanie C Firmin, M.D Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 Pecan Park Ave, Suite C, Alexandria, LA 71303 Phone: 318-473-9267 Fax: 318-445-0771 |