| Ricardo Samudia, MD | |
|
1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | |
| (337) 475-8100 | |
| (337) 475-8510 |
| Full Name | Ricardo Samudia |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 1717 Oak Park Blvd Fl 3, Lake Charles, 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 |
|---|---|---|---|
| 1831142355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 07963R (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dequincy Memorial Hospital | Dequincy, LA | Hospital |
| Sabine Medical Center | Many, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hodges Emergency Group Llc | 2567703978 | 14 |
| Buxton Emergency Group Llc | 8729321344 | 4 |
| Entity Name | Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20050610000177 |
| Entity Name | Ess Hospitalist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20130515000072 |
| Entity Name | Leatherwood Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760946313 PECOS PAC ID: 0749521250 Enrollment ID: O20190410002335 |
| Entity Name | Hodges Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710441316 PECOS PAC ID: 2567703978 Enrollment ID: O20190412000898 |
| Entity Name | Buxton Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845301 PECOS PAC ID: 8729321344 Enrollment ID: O20190523001057 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo Samudia, MD Po Box 122108, Dept 2108, Dallas, TX 75312-2108 Ph: (337) 494-2919 | Ricardo Samudia, MD 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 Ph: (337) 475-8100 |
Dr. Benjamin Bryce Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 771 E Bayou Pines Dr, Lake Charles, LA 70601 Phone: 337-433-1212 Fax: 337-433-0736 | |
Dr. Michael Kevin Seep, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-480-8900 Fax: 337-480-8901 | |
Dr. Melissa Lalande Rasberry, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1920 W Sale Rd, Bldg F, Suite 2, Lake Charles, LA 70605 Phone: 337-474-2856 Fax: 337-480-0645 | |
Micah Leleux, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 217 Sam Houston Jones Pkwy Ste 104, Lake Charles, LA 70611 Phone: 337-480-8989 Fax: 337-480-8988 | |
Kira Racine Groves, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-480-8900 Fax: 337-480-8901 | |
Dr. Jason P Hagen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Walters St, Lake Charles, LA 70607 Phone: 337-480-8066 Fax: 337-480-8061 | |
Elvira Delbar Kazemyan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1525 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-494-2023 Fax: 337-630-6966 |