| Mr Garrett Lane Vick, | |
|
605 Enterprise Dr Ste C, Houma, LA 70360-5405 | |
| (985) 360-3755 | |
| (985) 879-4580 |
| Full Name | Mr Garrett Lane Vick |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 11 Years |
| Location | 605 Enterprise Dr Ste C, Houma, 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 |
|---|---|---|---|
| 1154708105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 302659 (Louisiana) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Epiphany Dermatology Pa | 3971827791 | 77 |
| Entity Name | Epiphany Dermatology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043615263 PECOS PAC ID: 3971827791 Enrollment ID: O20150126001498 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Garrett Lane Vick, 213 Belmere Luxury Ct, Houma, LA 70360-2960 Ph: (903) 272-7950 | Mr Garrett Lane Vick, 605 Enterprise Dr Ste C, Houma, LA 70360-5405 Ph: (985) 360-3755 |
Mr. William J Wilder, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 12 Professional Drive, Houma, LA 70360 Phone: 985-868-1810 Fax: 985-876-3670 | |
Dr. Kristal Bourgeois Guidroz, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 Bayou Gardens Blvd, Houma, LA 70364 Phone: 985-876-5000 Fax: 985-876-5280 | |
Dr. Tamela L Charbonnet, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 Bayou Gardens Blvd, Houma, LA 70364 Phone: 985-876-5000 Fax: 985-876-5280 | |
Mr. Fernando E Palomeque, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 12 Professional Drive, Houma, LA 70360 Phone: 985-868-1810 Fax: 985-876-3670 | |
Dr. Philip Mark Neal, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 12 Professional Dr, Houma, LA 70360 Phone: 985-868-1810 | |
Dr. Lee Hoye Grafton, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 327 Bayou Gardens Blvd, Houma, LA 70364 Phone: 985-876-5000 Fax: 985-976-5280 |