| Victor M Camacho, MD | |
|
1585 3rd St, Fort Polk, LA 71459-5102 | |
| (337) 531-3701 | |
| Not Available |
| Full Name | Victor M Camacho |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1585 3rd St, Fort Polk, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366430555 | NPI | - | NPPES |
| 000267803V | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 023720 (Georgia) | Primary |
| Entity Name | Georgia Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952746638 PECOS PAC ID: 4082853262 Enrollment ID: O20130619000316 |
| Entity Name | Houston County Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013338193 PECOS PAC ID: 2264663756 Enrollment ID: O20140326001461 |
| Entity Name | Washington County Emergency Medicine Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174069959 PECOS PAC ID: 9335424233 Enrollment ID: O20170315001971 |
| Entity Name | Emergency Group Of Columbus Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316458227 PECOS PAC ID: 2668735515 Enrollment ID: O20180406001191 |
| Entity Name | Heritage Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003321969 PECOS PAC ID: 6305100850 Enrollment ID: O20180509000280 |
| Mailing Address | Practice Location Address |
|---|---|
| Victor M Camacho, MD Po Box 5661, Athens, GA 30604-5661 Ph: (706) 354-5770 | Victor M Camacho, MD 1585 3rd St, Fort Polk, LA 71459-5102 Ph: (337) 531-3701 |
Gerard Tiffault, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 240-351-9565 | |
Celeste A Lujan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1585 3rd St, Building 285, Fort Polk, LA 71459 Phone: 337-531-2008 | |
Stephen Brooke Cox, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3011 | |
Debra Jones, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Bayne-jones Army Community Hospital, 1585 3rd Street, Fort Polk, LA 71459 Phone: 726-780-2175 | |
Dr. Laurel Ashlin Thurston, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3368 | |
Dr. Dane Hamilton Nerad, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3011 |