Willard T Dalton Jr, MD | |
8166 Main Street, Houma, LA 70360 | |
(985) 873-4141 | |
(985) 851-4307 |
Full Name | Willard T Dalton Jr |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 49 Years |
Location | 8166 Main Street, Houma, 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 |
---|---|---|---|
1124091475 | NPI | - | NPPES |
1389650 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZH0000X | Pathology - Hematology | MD08126R (Louisiana) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD08126R (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Terrebonne General Medical Center | Houma, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Paeon Health Services Inc | 1153697727 | 41 |
Entity Name | Physicians Medical Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477509859 PECOS PAC ID: 2062308364 Enrollment ID: O20040224000911 |
Entity Name | Paeon Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568985612 PECOS PAC ID: 1153697727 Enrollment ID: O20171026000630 |
Mailing Address | Practice Location Address |
---|---|
Willard T Dalton Jr, MD Po Box 6037, Houma, LA 70361-6037 Ph: (985) 873-4235 | Willard T Dalton Jr, MD 8166 Main Street, Houma, LA 70360 Ph: (985) 873-4141 |
Gerard Anthony Bertolino, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1990 Industrial Blvd, Houma, LA 70363 Phone: 985-868-9300 Fax: 985-851-0053 | |
Feaster F Fitzpatrick, Pathology Medicare: Not Enrolled in Medicare Practice Location: 8166 Main Street, Houma, LA 70360 Phone: 985-873-4141 Fax: 985-851-4307 | |
Rebecca Leigh Boyd Whittemore, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1990 Industrial Blvd, South Louisiana Medical Associates, Houma, LA 70363 Phone: 985-873-1335 Fax: 985-873-1225 | |
Steven D Kraus, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1978 Industrial Blvd, Pathology Dept., Houma, LA 70363 Phone: 985-868-9300 | |
Dr. Sudha G Pillarisetti, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1990 Industrial Blvd, Houma, LA 70363 Phone: 985-868-9300 Fax: 985-851-0053 | |
Mr. Ronnie Self Ii, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1990 Industrial Blvd, Houma, LA 70363 Phone: 985-868-9300 Fax: 985-851-0053 |