Maximo Bienvenido Lamarche, M.D.
Individual provider Active NPI Nephrology Physician · Lafayette, LA
NPI 1003852567 · NPPES record last updated Nov 10, 2020
Key facts
- NPI
- 1003852567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 03956R (LA)
- Practice address
- 300 W Saint Mary Blvd
Lafayette, LA 70506-4638 - Phone
- (337) 233-6593
- Fax
- (337) 235-1032
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acadiana Renal Physicians AMC
Ladebe LLC
Practice addresses (Care Compare)
300 W Saint Mary Blvd
Lafayette, LA 70506-4638
Phone (337) 233-6593
307 Polly LN
Lafayette, LA 70508-4960
Phone (337) 314-1148
Hospital & facility affiliations
- Fresenius Kidney Care Broussard
- DaVita Lake Charles Southwest Dialysis
- Fmcna - Veterans Memorial
- Audubon Home Health of Lafayette
- Ochsner Lafayette General Medical Center
- Our Lady of Lourdes Regional Medical Center, Inc
- Ochsner St Martin Hospital
- Opelousas General Health System
- Abbeville General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060313000073 | LA | Practitioner - Nephrology |
3678481215 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03956R | LA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ladebe LLC | Internal Medicine | Current |
Accepting new patients |
| Acadiana Concern for AIDS Relief Education and Support, Inc. | Current |
Accepting new patients | |
| Acadiana Renal Physicians AMC | Nephrology | Current |
Accepting new patients |
| Abbeville General Hospital | Current |
Accepting new patients | |
| Lsuhn Billing LLC | Current |
Accepting new patients | |
| Abbeville General Hospital | Current |
Accepting new patients | |
| Lsuhn Billing LLC | Current |
Accepting new patients | |
| Southern Louisiana Rehab LLC | Past |
Accepting new patients | |
| Acadiana Concern for AIDS Relief Education and Support, Inc. | Past | Accepting new patients | |
| Southpark Community Hospital | Internal Medicine | Past |
Accepting new patients |
| Clinton Young, M.D., Apmc | Internal Medicine | Past | Accepting new patients |
Locations
118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
307 Polly Ln
Lafayette, LA 70508
Phone (337) 314-1111
809 Mlk Dr
Lafayette, LA 70501
Phone (337) 233-2437
1105 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (225) 296-0041
300 W Saint Mary Blvd
Lafayette, LA 70506
Phone (337) 233-1542
2804 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 981-5156
224 N Lewis St
New Iberia, LA 70563
Phone (318) 364-1103
Interoperability endpoints
- maximo@acadianacares.ssdirect.aprima.com
- mlamarche21195@direct.acumenmd.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 03956R | LA | Yes |
Addresses
Primary practice location
300 W Saint Mary Blvd
Lafayette, LA 70506-4638
Mailing address
300 W Saint Mary Blvd
Lafayette, LA 70506-4638
Phone (337) 233-6593
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1193216 | Medicaid | LA |
Other providers in Lafayette, LA
- Rachel Ortego Lalande
- Lalit G Thanki DDS & Jyoti L Thanki Apdc
- Brennan Alise Lalonde
- Jessie Lalonde
- Meredith Preis Lalonde
- Michael K Lamb
- Sasha Lambert
- Lamberts Limbs & Braces Inc.
- Kyle Lambeth
- Jacob A Lamkin
All providers in Lafayette, LA · Nephrology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.