Eunice Emergency Group LLC
Organization Active NPI Emergency Medicine Physician · Eunice, LA
NPI 1104895689 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1104895689
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- EUNICE EMERGENCY GROUP LLC
- Practice address
- 3501 Highway 190
Eunice, LA 70535-5129 - Phone
- (337) 580-7900
- NPI assigned
- Mar 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Lisha C Falk
- Title
- VP of Contracting
- Phone
- (337) 609-1221
Practitioners 83
-
Patrick Byrne, MD
-
Gianluca Cerri, M.D.
-
Blake McDonald Jr., M.D.
-
Bernard George Boka, M.D.
-
David Abdehou, MD
-
Lucas Ainsworth, M.D.
-
Stephanie N Aldret, D.O.
-
Brian K Benson, M.D. PH.D.
-
Jevin Marc Bordelon, M.D.
-
Chantel K. Burns, MD
-
Glen Paul Carbo, FNP
-
Jason T Chambers, MD
-
Henry Joseph Dupre, M.D.
-
Stephen Ward Etheredge, M.D.
-
Mitchell Paul Feigley, M.D.
-
Marc Fernandez, MD
-
James George, MD
-
Gregory Lyon Glowacki, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050309000026 | LA | Part B Supplier - Clinic/Group Practice | 3476507849 |
Receives reassigned benefits from 81 practitioners Practice locations: Eunice, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Medical Physician Assistant |
363AM0700X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
3501 Highway 190
Eunice, LA 70535-5129
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1445631 | Medicaid | LA |
Other providers in Eunice, LA
- Edward E.Graul,Jr, MD, Apmc
- Elemer Raffai MD MSC Frcsc Apmc
- Jeanne Elfert
- Eunice Anesthesiology Group LLC
- Eunice Community Health Unit
- Eunice Family Practice, L.L.C.
- Eunice Medical Center Lab
- Eunice Medical Laboratory Inc
- Eunice Medical Specialties, LLC.
- Bernadette Michelle Evitt
All providers in Eunice, LA · Emergency Medicine 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 Mar 23, 2022. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.