Lucien R Ouellette, MD | |
1423 B South Main Street, Farmville, VA 23901-2531 | |
(434) 207-5170 | |
Not Available |
Full Name | Lucien R Ouellette |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 27 Years |
Location | 1423 B South Main Street, Farmville, Virginia |
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 |
---|---|---|---|
1114952991 | NPI | - | NPPES |
1114952991 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080S0010X | Pediatrics - Sports Medicine | MD16785 (Maine) | Secondary |
2080S0010X | Pediatrics - Sports Medicine | 0101058044 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Centra Southside Community Hospital, Inc | Farmville, VA | Hospital |
Centra Health - Lynchburg Gen Hospital | Lynchburg, VA | Hospital |
Holly Manor Nursing Home | Farmville, VA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthovirginia Inc | 0547157224 | 492 |
Entity Name | Orthovirginia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487671822 PECOS PAC ID: 0547157224 Enrollment ID: O20040228000320 |
Mailing Address | Practice Location Address |
---|---|
Lucien R Ouellette, MD P. O. Box 715868, Philadelphia, PA 19171-5868 Ph: (804) 327-9242 | Lucien R Ouellette, MD 1423 B South Main Street, Farmville, VA 23901-2531 Ph: (434) 207-5170 |
Dr. Luis H Zamora-siliezar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 935 S Main St, Farmville, VA 23901 Phone: 434-315-5377 Fax: 434-315-5923 | |
Dr. Ibtehal A.sabri Al-ani, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1715 West Third Street, Farmville, VA 23901 Phone: 434-315-0138 Fax: 434-392-9748 |