| Evan Phillips, PA | |
|
1103 Kaliste Saloom Rd Ste 100&102, Lafayette, LA 70508-5783 | |
| (225) 274-5148 | |
| Not Available |
| Full Name | Evan Phillips |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 1103 Kaliste Saloom Rd Ste 100&102, Lafayette, 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 |
|---|---|---|---|
| 1184196784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 311512 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Abbeville General Hospital | 8325933872 | 29 |
| Lourdes After Hours Llc | 5496704553 | 29 |
| Myers Dermatology Llc | 3971645367 | 5 |
| Entity Name | Lourdes After Hours LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649297730 PECOS PAC ID: 5496704553 Enrollment ID: O20050114000648 |
| Entity Name | Myers Dermatology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114255965 PECOS PAC ID: 3971645367 Enrollment ID: O20100122000713 |
| Entity Name | Abbeville General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619458247 PECOS PAC ID: 8325933872 Enrollment ID: O20190123000743 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Phillips, PA 100 Windchase Dr, Lafayette, LA 70508-6546 Ph: (225) 274-5148 | Evan Phillips, PA 1103 Kaliste Saloom Rd Ste 100&102, Lafayette, LA 70508-5783 Ph: (225) 274-5148 |
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 |
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 |
Madison Rae Bolgiano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4212 W Congress St Ste 3100, Lafayette, LA 70506 Phone: 337-703-3220 |