| Michael Ray Melancon, MD | |
|
4650 Ambassador Caffery Pkwy, Suite 105, Lafayette, LA 70508-6926 | |
| (337) 989-8080 | |
| (337) 981-0913 |
| Full Name | Michael Ray Melancon |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 46 Years |
| Location | 4650 Ambassador Caffery Pkwy, Lafayette, 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 |
|---|---|---|---|
| 1992737621 | NPI | - | NPPES |
| 015178 | Other | LA | LA STATE LICENSE |
| 721165262 | Other | LA | FEDERAL TAX ID |
| 1324833 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD015178 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| La Imaging Clinic, Llc | 9234290925 | 5 |
| Entity Name | La Imaging Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568628972 PECOS PAC ID: 9234290925 Enrollment ID: O20081213000146 |
| Entity Name | Moss Street Kid Med Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336268184 PECOS PAC ID: 1355694498 Enrollment ID: O20181019000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Ray Melancon, MD 4650 Ambassador Caffery Pkwy, Suite 105, Lafayette, LA 70508-6926 Ph: (337) 989-8080 | Michael Ray Melancon, MD 4650 Ambassador Caffery Pkwy, Suite 105, Lafayette, LA 70508-6926 Ph: (337) 989-8080 |
Dr. Sheung Man Alexander Sin, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 615-322-5000 | |
Karl M. Valcourt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-2605 | |
Neva Ducote Seago, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4600 Ambassador Caffery Pkwy, Women's And Children's Hospital, Lafayette, LA 70508 Phone: 337-521-9100 | |
Dr. Colleen C Sicard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Beaullieu Dr Ste 7, Lafayette, LA 70508 Phone: 337-366-8616 Fax: 337-366-8133 | |
Dr. Virginia B Coreil, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5000 Ambassador Caffery Pkwy Bldg 12, Lafayette, LA 70508 Phone: 337-470-3150 Fax: 337-470-3161 | |
Dr. Ebenezer S. Bediako, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-5500 Fax: 337-521-9166 | |
Mr. Cong T Vo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 107 Montrose Avenue, Suite D, Lafayette, LA 70503 Phone: 337-981-9316 Fax: 337-981-8303 |