| Antonio J Lopez, PA | |
|
3149 Ambassador Caffery Pkwy, Lafayette, LA 70506-7209 | |
| (377) 706-3145 | |
| Not Available |
| Full Name | Antonio J Lopez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3149 Ambassador Caffery Pkwy, Lafayette, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427483130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.200674 (Louisiana) | Primary |
| 363AM0700X | Physician Assistant - Medical | (NU) | Secondary |
| Entity Name | Abbeville Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760799290 PECOS PAC ID: 3375731185 Enrollment ID: O20101221000525 |
| Entity Name | Congress Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912316944 PECOS PAC ID: 1557580354 Enrollment ID: O20140909002128 |
| Entity Name | River Oaks Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407448186 PECOS PAC ID: 6901214584 Enrollment ID: O20210420001910 |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio J Lopez, PA 2495 Shreveport Hwy, Pineville, LA 71360-4044 Ph: (337) 706-3415 | Antonio J Lopez, PA 3149 Ambassador Caffery Pkwy, Lafayette, LA 70506-7209 Ph: (377) 706-3145 |
Stefanie Hummel Theriot, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 105 Patriot St Ste 101, Lafayette, LA 70508 Phone: 337-981-2125 Fax: 337-981-2174 |
Kevin Kathleen M Menard, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1103 Kaliste Saloom Rd, Lafayette, LA 70508 Phone: 337-234-5234 |
Todd A Devalcourt, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4212 W Congress St Ste 3100, Lafayette, LA 70506 Phone: 337-703-3201 Fax: 337-703-3202 |
Banee Madison, P.A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-561-9100 |
Ms. Justine Michelle Guerrero, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Wilson St, Lafayette, LA 70503 Phone: 337-456-6523 Fax: 337-456-6521 |
Mrs. Sarah Lalande Ardoin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-2605 Fax: 337-470-4595 |
Jason R Comeaux, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-2605 Fax: 337-470-4595 |