| Praneet Kumar Srisailam, | |
|
4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | |
| (337) 470-2605 | |
| (337) 470-4595 |
| Full Name | Praneet Kumar Srisailam |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 11 Years |
| Location | 4801 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 |
|---|---|---|---|
| 1619539152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 333592 (Louisiana) | Primary |
| 207R00000X | Internal Medicine | 333592 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lafayette General Medical Center | Lafayette, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coolidge Physician Services Llc | 7113156035 | 37 |
| Entity Name | Coolidge Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609298843 PECOS PAC ID: 7113156035 Enrollment ID: O20140218001309 |
| Entity Name | Hub City Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992180566 PECOS PAC ID: 3173831211 Enrollment ID: O20151009000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Praneet Kumar Srisailam, 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (337) 470-2605 | Praneet Kumar Srisailam, 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 Ph: (337) 470-2605 |
Ashish Mavjibhai Goti, M.D. Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-2605 Fax: 337-470-4595 | |
Mohana Neelam, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-2605 Fax: 337-470-4595 | |
Erin T Lasseigne, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-2195 Fax: 337-470-2019 | |
Mr. David Jude Bollich, PA-C Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-2000 | |
Dr. Ebenezer S. Bediako, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-5500 Fax: 337-521-9166 | |
Mrs. Sarah Lalande Ardoin, PA-C Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-2605 Fax: 337-470-4595 | |
Ariadne A Gauthier, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3149 Ambassador Caffery Pkwy, Lafayette, LA 70506 Phone: 337-706-3415 |