| Dr John Kalieb Pourciau, DPM | |
|
1747 Imperial Blvd, Lake Charles, LA 70605-5362 | |
| (337) 721-7236 | |
| (337) 721-7237 |
| Full Name | Dr John Kalieb Pourciau |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 20 Years |
| Location | 1747 Imperial Blvd, Lake Charles, 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 |
|---|---|---|---|
| 1053589580 | NPI | - | NPPES |
| 1198501 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DPM200016 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Charles Memorial Hospital | Lake charles, LA | Hospital |
| Christus Ochsner St Patrick Hospital | Lake charles, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Center For Orthopaedics And Spine Llc | 1557797206 | 31 |
| Provider Name | Center For Orthopaedics And Spine, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538703335 PECOS PAC ID: 1557797206 Enrollment ID: O20200129000472 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Kalieb Pourciau, DPM 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 Ph: (337) 433-8400 | Dr John Kalieb Pourciau, DPM 1747 Imperial Blvd, Lake Charles, LA 70605-5362 Ph: (337) 721-7236 |
Vernon L Garber, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 651 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-3338 Fax: 337-433-3337 | |
Mr. Estuardo Alexander Silva, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 524 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-480-4948 Fax: 337-491-7195 | |
Michael Garrett Freeland, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 524 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-842-6422 | |
Louisiana Foot And Ankle Specialists Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 212 W Mcneese St, Lake Charles, LA 70605 Phone: 337-474-2233 | |
Dr. Tyson Ellis Green, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1747 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-721-7236 Fax: 337-721-7237 | |
Dr. Mallory Michelle Przybylski, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 212 W Mcneese St, Lake Charles, LA 70605 Phone: 337-474-2233 |