Glenn Charles Lafleur, M.D.
Individual provider Active NPI Family Medicine Physician · Broussard, LA
NPI 1124084520 · NPPES record last updated Oct 4, 2018
Key facts
- NPI
- 1124084520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 14547R (LA)
- Practice address
- 317 Opus One Dr
Broussard, LA 70518 - Phone
- (337) 802-3579
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 28
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integritas Emergency Physician Services LLC
Practice addresses (Care Compare)
8 Doctors Pkwy
Mount Vernon, IL 62864-6224
Phone (618) 244-5500
Hospital & facility affiliations
- Franklin Hospital
- Lasalle General Hospital
- Acadia St Landry
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA, IL
- 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 |
|---|---|---|---|---|
| I20031105000766 | LA | Practitioner - Family Practice |
7618889700 | Reassigns benefits to 17 organizations |
| I20230424002393 | IL | Practitioner - Family Practice | 7618889700 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14547R | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lourdes After Hours LLC | Current |
Accepting new patients | |
| Acadia-St. Landry Hospital Service District | Current |
Accepting new patients | |
| Calcasieu Cameron Emergency Physician Group LLC | Current |
Accepting new patients | |
| Jena Ess Hospitalist LLC | Current |
Accepting new patients | |
| Franklin Hospital District | Current |
Accepting new patients | |
| Concord North Texas, PLLC | Current |
Accepting new patients | |
| Lourdes After Hours LLC | Current |
Accepting new patients | |
| Vermilion Emergency Group LLC | Current |
Accepting new patients | |
| South Central Physicians PLLC | Current |
Accepting new patients | |
| Convenient Care LLC | Current |
Accepting new patients | |
| Acadia-St. Landry Hospital Service District | Current |
Accepting new patients | |
| Convenient Care LLC | Current |
Accepting new patients | |
| Lake Charles Urgent Care | Current |
Accepting new patients | |
| Jena Ess LLC | Current |
Accepting new patients | |
| Teche Emergency Group LLC | Current |
Accepting new patients | |
| Acadia-St. Landry Hospital Service District | Family Medicine | Current |
Accepting new patients |
| Statera Health Care, LLC | Current |
Accepting new patients | |
| Eunice Emergency Group LLC | Current |
Accepting new patients | |
| Emergency Staffing Solutions Inc | Current |
Accepting new patients | |
| Franklin Hospital District | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current |
Accepting new patients | |
| Franklin Hospital District | Current |
Accepting new patients | |
| Concord Medical Group PLLC | Current |
Accepting new patients | |
| Convenient Care LLC | Current | Accepting new patients | |
| Ess Hospitalist LLC | Current |
Accepting new patients | |
| Integritas Emergency Physician Services, LLC | Current |
Accepting new patients | |
| Correct Care, Inc. | Current |
Accepting new patients | |
| Eye Microsurgery, LTD. | Past |
Accepting new patients |
Locations
201 Bailey Ln
Benton, IL 62812
Phone (618) 438-3113
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146
28 Chick St
Metropolis, IL 62960
Phone (618) 427-2680
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857
2380 Oneal Ln
Ste A
Baton Rouge, LA 70816
Phone (225) 214-3714
1821 Rees St
Breaux Bridge, LA 70517
Phone (337) 332-0661
3824 NE Evangeline Thruway
Carencro, LA 70520
Phone (337) 565-2675
810 S Broadway St
Church Point, LA 70525
Phone (337) 684-4281
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931
3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500
1700 EE Wallace Blvd N
Ferriday, LA 71334
Phone (318) 281-2448
1097 Northwest Blvd
Franklin, LA 70538
Phone (337) 355-1269
187 Ninth St
Jena, LA 71342
Phone (318) 992-9200
165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435
1310 W 7th St
Kaplan, LA 70548
Phone (318) 643-8300
1700 Kaliste Saloom Rd
Ste 101
Lafayette, LA 70508
Phone (337) 981-5085
1905 Country Club Rd
Lake Charles, LA 70605
Phone (337) 990-8000
207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109
701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270
900 Johnson St
Tallulah, LA 71282
Phone (318) 395-2241
Interoperability endpoints
- glafleur@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14547R | LA | Yes |
Addresses
Primary practice location
317 Opus One Dr
Broussard, LA 70518
Mailing address
317 Opus One Dr
Broussard, LA 70518-7043
Other practice location 1
3501 Highway 190
Eunice, LA 70535-5129
Phone (800) 893-9698
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1057223 | Medicaid | LA |
Other providers in Broussard, LA
- Oy Keobupha
- L & L Medical & Diagnostic Center, LLC
- Labry Family Dentistry
- Shelli Alyse Lacombe
- Lafayette Health Ventures, Inc
- Jamie Lancon
- Ivan Landry
- Jonathan Matthew Landry
- Rashonee Ravae Lavergne
- Tori Anne Laviolette
All providers in Broussard, LA · Family 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 Oct 4, 2018. 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.