Joseph R Bozzelle (NPI# 1851350151, PAC ID# 9436127834) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1851350151 |
| PAC ID by PECOS | 9436127834 |
| Professional Enrollment ID | I20041006000024 |
| Full Name | Joseph R Bozzelle |
| Organization Legal Name | SOUTHERN LOUISIANA REHAB LLC |
| Address |
600 N Lewis Ave New Iberia LA 70563-2043 |
| Phone Number | 3373744100 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8820066228 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190054 | IBERIA MEDICAL CENTER |
| 190017 | OPELOUSAS GENERAL HEALTH SYSTEM |
| 190102 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
| 190019 | CHRISTUS ST FRANCES CABRINI HOSPITAL |
| 190167 | MERCY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 501 W St Mary Blvd, Suite 110, Lafayette, LA 70506-4699 | 3372338887 | SHIPS MEDICAL, LLC |
| 600 N Lewis Ave, New Iberia, LA 70563-2043 | 3373744100 | SOUTHERN LOUISIANA REHAB LLC |
| 413 Robin Ln, Opelousas, LA 70570-9113 | 3379422822 | SHIPS MEDICAL, LLC |
| 539 E Prudhomme St, Opelousas, LA 70570-6499 | 3379483011 | SOUTHERN LOUISIANA REHAB LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_109_overall | Osteoarthritis (OA): Function and Pain Assessment | 14% | |
| MIPS_EC_109_overall | Osteoarthritis (OA): Function and Pain Assessment | 14% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 46% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 46% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 63% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 63% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 97% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 97% |
| Organization Legal Name | SOUTHERN LOUISIANA REHAB LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shane T Broussard | Physician Assistant | Southern Louisiana Rehab LLC | 600 N Lewis Ave, New Iberia, LA 70563-2043 |
| Street Address |
600 N LEWIS AVE |
| City | NEW IBERIA |
| State | LA |
| Zip | 70563-2043 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shane T Broussard | Physician Assistant | Southern Louisiana Rehab LLC | 600 N Lewis Ave, New Iberia, LA 70563-2043 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan D Granger | Optometry | 1110 Angers St, New Iberia, LA 70563-2012 | |
| Vina S Baker | Internal Medicine | 602 N Lewis Ave, Suite 100, New Iberia, LA 70563-2014 | |
| Julian J Krawczyk | Radiation Oncology | Acadiana Radiation Therapy LLC | 525 N Lewis St, New Iberia, LA 70563-2015 |
| John F. Anderson | Radiation Oncology | Acadiana Radiation Therapy LLC | 525 N Lewis St, New Iberia, LA 70563-2015 |
| Stephen R Wilt | Radiation Oncology | Acadiana Radiation Therapy LLC | 525 N Lewis St, New Iberia, LA 70563-2015 |
| Jonathan W Thompson | Radiation Oncology | Acadiana Radiation Therapy LLC | 525 N Lewis St, New Iberia, LA 70563-2015 |
| Charles R Reinninger | Radiation Oncology | Acadiana Radiation Therapy LLC | 525 N Lewis St, New Iberia, LA 70563-2015 |
| Daniel M Bitner | Anesthesiology | Youngs Professional Services LLC | 600 N Lewis St, Anesthesia Dept, New Iberia, LA 70563-2043 |
| Hai H. Tran | Anesthesiology | Youngs Professional Services LLC | 600 N Lewis St, Anesthesia Dept, New Iberia, LA 70563-2043 |
| Salvatore Buttaci-guarino | Interventional Cardiology | Cardiovascular Institute of The South, Apmc | 500 N Lewis St, 100 Cardiovascular Inst of South New Ib, New Iberia, LA 70563-2046 |
| Find all physicians in zip 70563 | |||
| City | NEW IBERIA |
| Zip Code | 70563 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | NEW IBERIA + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Joseph R Bozzelle.
| 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.