| Neurosurgery Institute Of Lake Charles | |
|
2770 3rd Ave Ste 110 Lake Charles LA 70601-0404 | |
| (337) 494-4747 | |
| (337) 494-4773 |
| Full Name | Neurosurgery Institute Of Lake Charles |
|---|---|
| Speciality | Clinic/Center |
| Location | 2770 3rd Ave Ste 110, Lake Charles, Louisiana |
| Authorized Official Name and Position | Dawn Johnson-hatcher (CFO) |
| Authorized Official Contact | 3374942094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurosurgery Institute Of Lake Charles Po Box 122425 Dept 2425 Dallas TX 75312-2425 Ph: (337) 494-2921 | Neurosurgery Institute Of Lake Charles 2770 3rd Ave Ste 110 Lake Charles LA 70601-0404 Ph: (337) 494-4747 |
| NPI Number | 1851526917 |
|---|---|
| Provider Enumeration Date | 05/19/2009 |
| Last Update Date | 12/04/2023 |
| Medicare PECOS PAC ID | 8224189758 |
|---|---|
| Medicare Enrollment ID | O20090624000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851526917 | NPI | - | NPPES |
| 1013439 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Cynthia Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831189174 PECOS PAC ID: 2062306715 Enrollment ID: I20040212000250 |
| Provider Name | Gregory Rubino |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609866953 PECOS PAC ID: 6709835838 Enrollment ID: I20050408001113 |
| Provider Name | Seth T Billiodeaux |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841492196 PECOS PAC ID: 4486819562 Enrollment ID: I20120625000221 |
| Provider Name | Logan J Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962894212 PECOS PAC ID: 3779800644 Enrollment ID: I20150402001975 |
| Provider Name | Marilyn Gribble Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861932154 PECOS PAC ID: 4082990403 Enrollment ID: I20170418002619 |
| Provider Name | Lisa Ianneillo Rubino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154833523 PECOS PAC ID: 7214294701 Enrollment ID: I20171208002389 |
| Provider Name | Christian Michael Bertrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558838615 PECOS PAC ID: 2961747746 Enrollment ID: I20181226000592 |
| Provider Name | Kathryn Marie Istre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093470114 PECOS PAC ID: 6204226897 Enrollment ID: I20211215000013 |
| Provider Name | Nathan Beier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205424397 PECOS PAC ID: 0345655049 Enrollment ID: I20220719003714 |
Lake Charles Medical Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-582-7632 Fax: 337-582-7656 | |
Family Medical Center. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-478-2650 Fax: 337-478-8183 | |
Cardiovascular Outpatient Center Of Southwest Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Dr Michael Debakey Dr, Suite 300, Lake Charles, LA 70601 Phone: 337-602-9991 | |
Washington-marion Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2802 Pineview St, Lake Charles, LA 70615 Phone: 337-217-4540 Fax: 337-439-5029 | |
Headache And Wellness Center Of Southwest Louisiana, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 803 W Bayou Pines Dr Ste B, Lake Charles, LA 70601 Phone: 337-508-2333 | |
Imperial Health, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-312-6708 | |
Kndl Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4200 Nelson Rd, Lake Charles, LA 70605 Phone: 337-475-4748 Fax: 337-944-4421 |