Mary B Neeley (NPI# 1790803278, PAC ID# 4385720895) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1790803278 |
| PAC ID by PECOS | 4385720895 |
| Professional Enrollment ID | I20080325000143 |
| Full Name | Mary B Neeley |
| Organization Legal Name | LAKE CHARLES MEDICAL SERVICES FAMILY PRACTICE ASSOCIATES, LLC |
| Address |
217 Sam Houston Jones Pkwy Suite 104 Lake Charles LA 70611-5644 |
| Phone Number | 3374808989 |
| Gender | F |
| Graduation Year | 1975 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1052481504 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190060 | LAKE CHARLES MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 217 Sam Houston Jones Pkwy, Suite 104, Lake Charles, LA 70611-5644 | 3374808989 | LAKE CHARLES MEDICAL SERVICES FAMILY PRACTICE ASSOCIATES, LLC |
| 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 | 3374946800 | SWLHS INC. |
| Organization Legal Name | LAKE CHARLES MEDICAL SERVICES FAMILY PRACTICE ASSOCIATES, LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael K Seep | Family Medicine | Lake Charles Medical Services Family Practice Associates, LLC | 2750 Aster St, Lake Charles, LA 70601-8824 |
| Micah Paul Leleux | Family Medicine | Lake Charles Medical Services Family Practice Associates, LLC | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 |
| Ameer Asif Khan | Family Medicine | Lake Charles Medical Services Family Practice Associates, LLC | 1890 W Gauthier Rd, Suite 155, Lake Charles, LA 70605-7119 |
| Noor Deeb Weckerly | Nurse Practitioner | Lake Charles Medical Services Family Practice Associates, LLC | 1890 W Gauthier Rd, Suite 155, Lake Charles, LA 70605-7119 |
| Carolyn A Hutchinson | Family Medicine | Lake Charles Medical Services Family Practice Associates, LLC | 2750 Aster St, Lake Charles, LA 70601-8824 |
| Stewart Charles Greathouse | Family Medicine | Lake Charles Medical Services Family Practice Associates, LLC | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 |
| Gurjot Kaur Basra | Rheumatology | Lake Charles Medical Services Family Practice Associates, LLC | 2750 Aster St, Lake Charles, LA 70601-8824 |
| Gerald W Mouton | Family Medicine | Lake Charles Medical Services Family Practice Associates, LLC | 2750 Aster St, Lake Charles, LA 70601-8824 |
| Percival Kane | Family Medicine | Lake Charles Medical Services Family Practice Associates, LLC | 2750 Aster St, Lake Charles, LA 70601-8824 |
| Lauren B Courville | Nurse Practitioner | Lake Charles Medical Services Family Practice Associates, LLC | 1890 W Gauthier Rd, Suite 155, Lake Charles, LA 70605-7119 |
| Street Address |
217 SAM HOUSTON JONES PKWY SUITE 104 |
| City | LAKE CHARLES |
| State | LA |
| Zip | 70611-5644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin R Bertrand Mathis | Physical Therapy | Calcasieu Therapy Group LLC | 217 Sam Houston Jones Pkwy, Moss Bluff, LA 70611-5644 |
| Shannon C Johnson | Physical Therapy | Calcasieu Therapy Group LLC | 217 Sam Houston Jones Pkwy, Moss Bluff, LA 70611-5644 |
| Sandra D M Bruno | Internal Medicine | 217 Sam Houston Jones Pkwy, Suite 101, Lake Charles, LA 70611-5644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad Richard | Chiropractic | 119 Tahoe Dr, Lake Charles, LA 70611-5109 | |
| Benjamin Scott Fontenot | Family Medicine | Imperial Health LLP | 277n Hwy 171, Suite 8, Lake Charles, LA 70611-5374 |
| Jason P Zeringue | Physical Therapy | 867 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5504 | |
| Robin Bedgood | Nurse Practitioner | Calcasieu Urgent Care LLC | 242 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5603 |
| Jagjit Singh Chadha | Internal Medicine | Health Clinic of Moss Bluff, LLC | 237 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5603 |
| Nafessa Zindani | Nurse Practitioner | Health Clinic of Moss Bluff, LLC | 237 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5603 |
| Nandita Chadha | Family Medicine | Health Clinic of Moss Bluff, LLC | 237 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5603 |
| Mary-alaina Dewees | Nurse Practitioner | Calcasieu Urgent Care LLC | 242 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5603 |
| Ashlyn B Saucier | Nurse Practitioner | Calcasieu Urgent Care LLC | 242 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5603 |
| City | LAKE CHARLES |
| Zip Code | 70611 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAKE CHARLES + NURSE PRACTITIONER |
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| 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.