| Matthew Quinn Ezernack, | |
|
4080 Nelson Rd Ste 500, Lake Charles, LA 70605-2440 | |
| (337) 494-7546 | |
| Not Available |
| Full Name | Matthew Quinn Ezernack |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 4080 Nelson Rd Ste 500, Lake Charles, 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 |
|---|---|---|---|
| 1912699547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 11530 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Louisiana Sports And Rehabilitation Center, Llc | 5890854434 | 9 |
| Calcasieu Therapy Group Llc | 8325270358 | 3 |
| Entity Name | Thibodeaux Albro & Touchet Therapy Group Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1104973262 PECOS PAC ID: 7719081801 Enrollment ID: O20070329000354 |
| Entity Name | Southwest Louisiana Sports And Rehabilitation Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1841357761 PECOS PAC ID: 5890854434 Enrollment ID: O20081111000513 |
| Entity Name | Iowa Therapy Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1578617924 PECOS PAC ID: 9133288772 Enrollment ID: O20081111000542 |
| Entity Name | Calcasieu Therapy Group Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1487085320 PECOS PAC ID: 8325270358 Enrollment ID: O20140407000525 |
| Entity Name | Lake Charles Sports & Rehab |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1194301317 PECOS PAC ID: 2961802293 Enrollment ID: O20210608003132 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Quinn Ezernack, 2923 Summer Place Dr, Sulphur, LA 70663-0758 Ph: (337) 309-0925 | Matthew Quinn Ezernack, 4080 Nelson Rd Ste 500, Lake Charles, LA 70605-2440 Ph: (337) 494-7546 |
Ms. Freddie Ann Regan, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3221 Ryan St, Suite D, Lake Charles, LA 70601 Phone: 337-439-3344 Fax: 337-439-3380 | |
Delaina Darby Guthrie, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3221 Ryan St Ste D, Lake Charles, LA 70601 Phone: 337-439-3344 Fax: 337-439-3380 | |
Brandon Soileau, PT, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4080 Nelson Rd Ste 500, Lake Charles, LA 70605 Phone: 337-494-7546 Fax: 337-494-7548 | |
Dr. Craig G Morton, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1747 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-721-7236 Fax: 337-721-7295 | |
Cheryl Brockmeier, MPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4190 Gerstner Memorial Dive, Lake Charles, LA 70607 Phone: 337-240-9730 | |
Mrs. Kim B Anderson, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1717 E Prien Lake Rd, Suite 1, Lake Charles, LA 70601 Phone: 337-478-5880 Fax: 337-478-5879 | |
Lauren Soileau, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3601 Gerstner Memorial Blvd, Lake Charles, LA 70607 Phone: 337-475-9500 |