| John Alanson Fudickar, PA | |
|
12525 Perkins Rd, Suite B, Baton Rouge, LA 70810-1907 | |
| (225) 819-8857 | |
| (225) 767-6822 |
| Full Name | John Alanson Fudickar |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 12525 Perkins Rd, Baton Rouge, 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 |
|---|---|---|---|
| 1841218484 | NPI | - | NPPES |
| 1628565 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.A10367.RX (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Urgent Care Ascension Llc | 0244479095 | 22 |
| New Orleans Physician Services Inc | 5294057824 | 177 |
| Convenient Care Llc | 1153306816 | 36 |
| Entity Name | Rapides Healthcare System LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366618837 PECOS PAC ID: 0446163158 Enrollment ID: O20040412001031 |
| Entity Name | Convenient Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164422630 PECOS PAC ID: 1153306816 Enrollment ID: O20040618000886 |
| 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 | Lake Charles Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306135892 PECOS PAC ID: 1052580644 Enrollment ID: O20110817000061 |
| Entity Name | Lake Urgent Care Ascension LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912243122 PECOS PAC ID: 0244479095 Enrollment ID: O20130627000023 |
| Entity Name | New Orleans Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396169678 PECOS PAC ID: 5294057824 Enrollment ID: O20141209002021 |
| Entity Name | Total Urgent Care and Occupational Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760871602 PECOS PAC ID: 6406168095 Enrollment ID: O20150722004972 |
| Entity Name | St Francis Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194104513 PECOS PAC ID: 6608181516 Enrollment ID: O20150820010652 |
| Entity Name | Lcuc Family Physicians Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932655784 PECOS PAC ID: 8325327935 Enrollment ID: O20161122000322 |
| Entity Name | Lcmc Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184162877 PECOS PAC ID: 9234406125 Enrollment ID: O20170524002543 |
| Mailing Address | Practice Location Address |
|---|---|
| John Alanson Fudickar, PA 7777 Hennessy Blvd, Suite 1004-154, Baton Rouge, LA 70808-4300 Ph: (225) 214-9352 | John Alanson Fudickar, PA 12525 Perkins Rd, Suite B, Baton Rouge, LA 70810-1907 Ph: (225) 819-8857 |
Casey M Leblanc, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808 Phone: 225-757-0552 |
Shelbie Lynne Ford, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 17000 Medical Center Dr, Baton Rouge, LA 70816 Phone: 225-755-4858 |
Paulla Danielle Brouillette, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Our Lady Of The Lake Med Cntr -- Er Dept, Baton Rouge, LA 70808 Phone: 888-447-2450 Fax: 405-341-9217 |
William Clement Moss Jr., P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810 Phone: 225-924-2424 Fax: 225-408-7984 |
James Garrett Leblanc, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810 Phone: 225-924-2424 Fax: 225-408-7984 |
Ms. Meegan Landry Domangue, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7301 Hennessy Blvd, #200, Baton Rouge, LA 70801 Phone: 225-766-0050 Fax: 225-766-1499 |
Mr. Taylor Murphy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd Ste 302, Baton Rouge, LA 70808 Phone: 225-374-0500 Fax: 225-354-2075 |