Leroy Fredericks (NPI# 1043335755, PAC ID# 0749339869) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MEDICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1043335755 |
| PAC ID by PECOS | 0749339869 |
| Professional Enrollment ID | I20090520000497 |
| Full Name | Leroy Fredericks |
| Organization Legal Name | SWLHS ONCOLOGY, INC. |
| Address |
2770 3rd Ave Fl 2 Lake Charles LA 70601-8994 |
| Phone Number | 3374946768 |
| Gender | F |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1997 |
| Primary Specialty | MEDICAL ONCOLOGY |
| Group Practice PAC ID | 8527144062 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190060 | LAKE CHARLES MEMORIAL HOSPITAL |
| 190013 | WEST CALCASIEU CAMERON HOSPITAL |
| 190053 | JENNINGS AMERICAN LEGION HOSPITAL |
| 190027 | CHRISTUS ST PATRICK HOSPITAL |
| 190201 | CHRISTUS LAKE AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2770 3rd Ave, Fl 2, Lake Charles, LA 70601-8994 | 3374946768 | SWLHS ONCOLOGY, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 67% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 97% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 71% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 7% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 96% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 1% |
| Organization Legal Name | SWLHS ONCOLOGY, INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Bergeron | Medical Oncology | Swlhs Oncology, Inc. | 2770 3rd Ave, Fl 2, Lake Charles, LA 70601-8994 |
| Mohammad Khan | Hematology/oncology | Swlhs Oncology, Inc. | 2770 3rd Ave, Fl 2, Lake Charles, LA 70601-8994 |
| Michael L Broussard | Medical Oncology | Swlhs Oncology, Inc. | 2770 3rd Ave, Fl 2, Lake Charles, LA 70601-8994 |
| Street Address |
2770 3RD AVE FL 2 |
| City | LAKE CHARLES |
| State | LA |
| Zip | 70601-8994 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda E Ellington | General Surgery | Lcms Surgical Associates of Southwest Lousiana, LLC | 2770 3rd Ave, Suite 120, Lake Charles, LA 70601-7893 |
| Richard L Martinez | Diagnostic Radiology | Second Avenue Mri LLC | 2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994 |
| Lisa Ianneillo Rubino | Nurse Practitioner | Lcms Neurosurgical Institute of Lake Charles LLC | 2770 3rd Ave, Suite 345, Lake Charles, LA 70601-8994 |
| Donald A Woolridge | Diagnostic Radiology | Second Avenue Mri LLC | 2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994 |
| Charles J Brdlik | Diagnostic Radiology | Second Avenue Mri LLC | 2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994 |
| Peter W Karam | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Amanda V Burnett | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Jennifer Taylor Graham | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Adam D Olsan | Diagnostic Radiology | Second Avenue Mri LLC | 2770 3rd Ave, Suite 125, Lake Charles, LA 70601-8994 |
| Thomas M Rossowski | General Surgery | Lcms Surgical Associates of Southwest Lousiana, LLC | 2770 3rd Ave, Suite 120, Lake Charles, LA 70601-7893 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nauman Qureshi | Internal Medicine | 333 Michael Debakey Dr, Suite 250, Lake Charles, LA 70601 | |
| Susan B Bourgeois Ieyoub | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Haley Angelle Landry | Nurse Practitioner | Lcms Pulmonary Associates of Southwest Louisiana | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Karie Joy Savoy | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Ronald M Lewis Jr. | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Brian D Clements | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Cristian Romero | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Mark David Lafuria | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Louise M Becnel | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| William Gerard Hebert | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Find all physicians in zip 70601 | |||
| City | LAKE CHARLES |
| Zip Code | 70601 |
| Specialty | MEDICAL ONCOLOGY |
| City + Specialty | LAKE CHARLES + MEDICAL ONCOLOGY |
Please comment or provide details below to improve the information on Leroy Fredericks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.