John L Ledbetter (NPI# 1225069065, PAC ID# 4880590454) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1225069065 |
| PAC ID by PECOS | 4880590454 |
| Professional Enrollment ID | I20070213000247 |
| Full Name | John L Ledbetter |
| Organization Legal Name | LOUISIANA PAIN CARE, LLC |
| Address |
210 Layton Ave Suite 20 Monroe LA 71210-8548 |
| Phone Number | 3183236405 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1983 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 9032015607 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190125 | ST FRANCIS MEDICAL CENTER |
| 190160 | GLENWOOD REGIONAL MEDICAL CENTER |
| 190116 | MOREHOUSE GENERAL HOSPITAL |
| 191323 | RICHLAND PARISH HOSPITAL-DELHI |
| 190151 | RICHARDSON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 | 3183236405 | LOUISIANA PAIN CARE, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | LOUISIANA PAIN CARE, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent R Forte | Interventional Pain Management | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| Paul B Roberts | Nurse Practitioner | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| Anderson C Austin | Nurse Practitioner | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| James Gordon | Interventional Pain Management | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| Ronald Ellis | Pain Management | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| Street Address |
210 LAYTON AVE SUITE 20 |
| City | MONROE |
| State | LA |
| Zip | 71210-8548 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent R Forte | Interventional Pain Management | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| Paul B Roberts | Nurse Practitioner | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| Rolando Garcia Jr. | Certified Registered Nurse Anesthetist (crna) | 210 Layton Ave, Suite 10, Monroe, LA 71201-8548 | |
| Anderson C Austin | Nurse Practitioner | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| James Gordon | Interventional Pain Management | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| Ronald Ellis | Pain Management | Louisiana Pain Care, LLC | 210 Layton Ave, Suite 20, Monroe, LA 71210-8548 |
| City | MONROE |
| Zip Code | 71210 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | MONROE + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on John L Ledbetter.
| 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.