| Paul Cary Aguillard, MD | |
|
1702 N Burnside Ave, Gonzales, LA 70737-2141 | |
| (225) 647-8319 | |
| (225) 644-5213 |
| Full Name | Paul Cary Aguillard |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 34 Years |
| Location | 1702 N Burnside Ave, Gonzales, 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 |
|---|---|---|---|
| 1871591982 | NPI | - | NPPES |
| 1984329 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 09731R (Louisiana) | Secondary |
| 208000000X | Pediatrics | 09731R (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Our Lady Of The Lake Physician Group Llc | 4587849781 | 579 |
| Entity Name | Our Lady Of Lake Ascension, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306899067 PECOS PAC ID: 3577452259 Enrollment ID: O20040311000822 |
| Entity Name | Hospital Service District No 1 Of Pointe Coupee |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588648315 PECOS PAC ID: 4688610223 Enrollment ID: O20050705000687 |
| Entity Name | Our Lady Of The Lake Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Cary Aguillard, MD 1702 N Burnside Ave, Gonzales, LA 70737-2141 Ph: (225) 647-8319 | Paul Cary Aguillard, MD 1702 N Burnside Ave, Gonzales, LA 70737-2141 Ph: (225) 647-8319 |
Dr. Brittany Alexis Landry, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2400 S Burnside Ave, Gonzales, LA 70737 Phone: 225-761-5200 Fax: 225-709-6425 | |
Cammie A Hilliard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1937 S Burnside Ave, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-644-9286 | |
Leyamma Mathew, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 721 E Highway 30, Gonzales, LA 70737 Phone: 225-644-7337 Fax: 225-644-5202 | |
Mrs. Allison Renee Dupuis Prevost, M. D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2647 S Saint Elizabeth Blvd Ste 320, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-647-5093 | |
Dr. Amy Lynette Kisner, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd Ste 308, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-765-9419 | |
Sarah Wilks, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1702 N Burnside Ave Ste C, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-644-0341 | |
Whitney O Allen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1024 E Ascension Complex Blvd, Gonzales, LA 70737 Phone: 225-644-4582 Fax: 225-644-2822 |