| Mr Larry Don Ezell, MD | |
|
620 Ecollege Street, Homer, LA 71040 | |
| (318) 927-2024 | |
| (318) 927-3723 |
| Full Name | Mr Larry Don Ezell |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 620 Ecollege Street, Homer, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679523807 | NPI | - | NPPES |
| 112238001 | Medicaid | AR | |
| 50503 | Other | AR | BLUE SHIELD |
| 1884219 | Medicaid | LA | |
| MD203522 | Other | LA | LOUISIANA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | C7023 (Arkansas) | Secondary |
| 207Q00000X | Family Medicine | C7023 (Arkansas) | Primary |
| Entity Name | Ozark Health, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043305501 PECOS PAC ID: 7315923620 Enrollment ID: O20040628000567 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20041207001183 |
| Entity Name | Fulton County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831274612 PECOS PAC ID: 8921099961 Enrollment ID: O20060127000010 |
| Entity Name | Arkansas Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774630 PECOS PAC ID: 3274681341 Enrollment ID: O20090501000014 |
| Entity Name | Emergency Staffing Solutions Region Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689967895 PECOS PAC ID: 3375721707 Enrollment ID: O20110706000473 |
| Entity Name | Ess Hospitalist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20120308000726 |
| Entity Name | Monticello Ess Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184010753 PECOS PAC ID: 4880914639 Enrollment ID: O20150519002625 |
| Entity Name | Hospital Care Consultants Of Fordyce Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316497464 PECOS PAC ID: 5395024475 Enrollment ID: O20161112000042 |
| Entity Name | Ess Of Fordyce Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821547977 PECOS PAC ID: 1254611601 Enrollment ID: O20161201001070 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Larry Don Ezell, MD 620 Ecollege Street, Homer, LA 71040 Ph: (318) 927-2024 | Mr Larry Don Ezell, MD 620 Ecollege Street, Homer, LA 71040 Ph: (318) 927-2024 |
William Mark Haynes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 912 W Main St, Homer, LA 71040 Phone: 318-927-3571 Fax: 318-927-2677 | |
Clifton Wales Salmon Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 Morris Cir, Homer, LA 71040 Phone: 318-927-6777 Fax: 318-927-6714 | |
John Henry Smith Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 Morris Cir, Homer, LA 71040 Phone: 318-927-1110 Fax: 318-927-1116 |