| Lcms Rehabilitation Institute Of Southwest Louisiana | |
|
1000 Walters St Lake Charles LA 70607-4647 | |
| (337) 480-8066 | |
| (337) 480-8109 |
| Full Name | Lcms Rehabilitation Institute Of Southwest Louisiana |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1000 Walters St, 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 |
|---|---|
| Lcms Rehabilitation Institute Of Southwest Louisiana Po Box 122108 Dept 2108 Dallas TX 75312-2108 Ph: (337) 494-2921 | Lcms Rehabilitation Institute Of Southwest Louisiana 1000 Walters St Lake Charles LA 70607-4647 Ph: (337) 480-8066 |
| NPI Number | 1215161922 |
|---|---|
| Provider Enumeration Date | 05/08/2009 |
| Last Update Date | 12/04/2023 |
| Medicare PECOS PAC ID | 7012061930 |
|---|---|
| Medicare Enrollment ID | O20090812000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215161922 | NPI | - | NPPES |
| 09-00013263 | Other | LA | OCCUPATIONAL LICENSE |
| 2353993 | Medicaid | LA |
| Provider Name | Mohammad S Sarwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407823644 PECOS PAC ID: 1557311768 Enrollment ID: I20050126000136 |
| Provider Name | Gerard J Guidry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235198599 PECOS PAC ID: 0941254544 Enrollment ID: I20050308000005 |
| Provider Name | Therese A Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699803361 PECOS PAC ID: 0547366494 Enrollment ID: I20070509000458 |
| Provider Name | Carlos M Choucino |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386604338 PECOS PAC ID: 7810095676 Enrollment ID: I20070604000078 |
| Provider Name | Mary Hollingsworth Sherk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326014739 PECOS PAC ID: 0840388591 Enrollment ID: I20100308000477 |
| Provider Name | Eileen S Piper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861452393 PECOS PAC ID: 6800075953 Enrollment ID: I20110121000739 |
| Provider Name | Ping Kok Lie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447210406 PECOS PAC ID: 5890974885 Enrollment ID: I20110124000172 |
| Provider Name | Muhammad Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396705752 PECOS PAC ID: 0547267510 Enrollment ID: I20110124001158 |
| Provider Name | Karie Joy Savoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275811572 PECOS PAC ID: 8628244282 Enrollment ID: I20120103000192 |
| Provider Name | Peter W Karam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235218660 PECOS PAC ID: 6103089289 Enrollment ID: I20120705000009 |
| Provider Name | Keysha R Nabours |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932450210 PECOS PAC ID: 5698925154 Enrollment ID: I20121019000050 |
| Provider Name | Jason P Hagen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093008401 PECOS PAC ID: 9032369830 Enrollment ID: I20121031000505 |
| Provider Name | Randalla Taren Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730516162 PECOS PAC ID: 5799087292 Enrollment ID: I20151230000049 |
| Provider Name | Louis Pulicicchio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861437733 PECOS PAC ID: 4385745397 Enrollment ID: I20170705003086 |
| Provider Name | Collin S Bowe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760896625 PECOS PAC ID: 4183997620 Enrollment ID: I20170906001345 |
| Provider Name | Benjamin Martin Azevedo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821434432 PECOS PAC ID: 4284942012 Enrollment ID: I20170915001199 |
| Provider Name | Traci L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548734270 PECOS PAC ID: 8325380181 Enrollment ID: I20190425002573 |
| Provider Name | Joseph Dressler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245768472 PECOS PAC ID: 3274803028 Enrollment ID: I20200609002013 |
| Provider Name | Ashton A Adekanmbi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548791940 PECOS PAC ID: 3173896081 Enrollment ID: I20200713001739 |
| Provider Name | Jasmin Demerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396276713 PECOS PAC ID: 7113290651 Enrollment ID: I20200713001884 |
| Provider Name | Shane Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346778644 PECOS PAC ID: 1951642909 Enrollment ID: I20201119000857 |
| Provider Name | Kira Racine Groves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073045605 PECOS PAC ID: 3173936747 Enrollment ID: I20201229001803 |
| Provider Name | Christine Dugan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427317858 PECOS PAC ID: 1456582956 Enrollment ID: I20210928000792 |
| Provider Name | Eric W Linville |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023514569 PECOS PAC ID: 8628431699 Enrollment ID: I20230824002120 |
| Provider Name | Brandi Lejeune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083495006 PECOS PAC ID: 2264875558 Enrollment ID: I20240202002360 |
| Provider Name | Rilee Breann Como |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619730207 PECOS PAC ID: 4587003264 Enrollment ID: I20240415000509 |
| Provider Name | Andrew Aaron Paulk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487116778 PECOS PAC ID: 0446799035 Enrollment ID: I20240827003298 |
| Provider Name | Lakshmi Tatineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417536293 PECOS PAC ID: 6709288863 Enrollment ID: I20240928000454 |
| Provider Name | Adaobi Umeaku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982280640 PECOS PAC ID: 5193253623 Enrollment ID: I20250113001132 |
| Provider Name | Brittnee Lett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992321210 PECOS PAC ID: 5890117568 Enrollment ID: I20250304000798 |
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 | |
Cardiac Cath Lab Of Lake Charles, Lp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Dr Michael Debakey Dr, Suite 300, Lake Charles, LA 70601 Phone: 337-602-9991 | |
Christus Health Southwestern Louisiana 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 | |
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 | |
Lsuhsc Family Practice Center @ Lcmh Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1525 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-494-6767 Fax: 337-494-6750 |