Keteral Ducote (NPI# 1194139048, PAC ID# 8022238377) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194139048 |
| PAC ID by PECOS | 8022238377 |
| Professional Enrollment ID | I20141008001699 |
| Full Name | Keteral Ducote |
| Organization Legal Name | OPELOUSAS EMERGENCY GROUP LLC |
| Address |
539 E Prudhomme St Opelousas LA 70570-6499 |
| Phone Number | 3379483011 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719933829 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190099 | AVOYELLES HOSPITAL |
| 190017 | OPELOUSAS GENERAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 919 Hidden Rdg, Suite 1008, Irving, TX 75038-3813 | 4692822700 | C H WILKINSON PHYSICIAN NETWORK |
| 5541 Hwy 1, Marksville, LA 71351-2650 | 3182407240 | C H WILKINSON PHYSICIAN NETWORK |
| 539 E Prudhomme St, Opelousas, LA 70570-6499 | 3379483011 | OPELOUSAS EMERGENCY GROUP LLC |
| 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 7132772222 | C H WILKINSON PHYSICIAN NETWORK |
| Organization Legal Name | OPELOUSAS EMERGENCY GROUP LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad J Mathews | Emergency Medicine | Opelousas Emergency Group LLC | 3983 I 49 S Service Rd, Opelousas, LA 70570-0758 |
| Craig J Frederick | Emergency Medicine | Opelousas Emergency Group LLC | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Mark F Olivier | Emergency Medicine | Opelousas Emergency Group LLC | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Chester M Dellinger Iii | Emergency Medicine | Opelousas Emergency Group LLC | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Bernard George Boka | Emergency Medicine | Opelousas Emergency Group LLC | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Joseph C Ryan | Family Medicine | Opelousas Emergency Group LLC | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Kevin P Karam | Emergency Medicine | Opelousas Emergency Group LLC | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Christen Angelle Keller | Nurse Practitioner | Opelousas Emergency Group LLC | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Brandi F Darbonne | Nurse Practitioner | Opelousas Emergency Group LLC | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Guy F Godeaux | Emergency Medicine | Opelousas Emergency Group LLC | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Street Address |
539 E PRUDHOMME ST |
| City | OPELOUSAS |
| State | LA |
| Zip | 70570-6499 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig J Frederick | Emergency Medicine | Opelousas Emergency Group LLC | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Robert C Mcreynolds Jr. | Diagnostic Radiology | Radiology Associates of Opelousas, LLP | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Gerard A Ballanco Jr. | Diagnostic Radiology | Radiology Associates of Opelousas, LLP | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Sandy F Leger | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Opelousas, Apmc | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Howard P Suire | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Opelousas, Apmc | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Mark F Olivier | Emergency Medicine | Opelousas Emergency Group LLC | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Chester M Dellinger Iii | Emergency Medicine | Opelousas Emergency Group LLC | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Bernard George Boka | Emergency Medicine | Opelousas Emergency Group LLC | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Samuel S Mccaulley | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Opelousas, Apmc | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Kenneth P Bergeron | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of Opelousas, Apmc | 539 E Prudhomme St, Opelousas, LA 70570-6499 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David B Clause | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Thomas R Butaud | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Phillip R Bacilla Jr. | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Mark G Nelson | Physician Assistant | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Gary L Porubsky | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Zvi Aviner | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Sue E Myers | Optometry | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Leon C Lahaye | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Daniel K Kim | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Lionel Smith | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Find all physicians in zip 70570 | |||
| City | OPELOUSAS |
| Zip Code | 70570 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OPELOUSAS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Keteral Ducote.
| 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.