| Ca Murphy Medical Group Llc | |
|
1 Lakeshore Dr Suite 1830 Lake Charles LA 70629-0100 | |
| (337) 437-8383 | |
| (337) 437-8386 |
| Full Name | Ca Murphy Medical Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1 Lakeshore Dr, Lake Charles, Louisiana |
| Authorized Official Name and Position | Charles Arnold Murphy (OWNER) |
| Authorized Official Contact | 3377942638 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ca Murphy Medical Group Llc 4501 Autumnwood Ln Lake Charles LA 70605-5453 Ph: (337) 794-2638 | Ca Murphy Medical Group Llc 1 Lakeshore Dr Suite 1830 Lake Charles LA 70629-0100 Ph: (337) 437-8383 |
| NPI Number | 1841694452 |
|---|---|
| Provider Enumeration Date | 10/13/2014 |
| Last Update Date | 10/13/2014 |
| Medicare PECOS PAC ID | 7214259779 |
|---|---|
| Medicare Enrollment ID | O20141211001382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841694452 | NPI | - | NPPES |
| 1937631 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 09455R (Louisiana) | Primary |
| Provider Name | Charles A Murphy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760464796 PECOS PAC ID: 9931297355 Enrollment ID: I20100826000524 |
| Provider Name | Julie Susann Dyrek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427668748 PECOS PAC ID: 8123430659 Enrollment ID: I20201207002668 |
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