Frank R Bacque (NPI# 1093794299, PAC ID# 0840293551) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1093794299 |
PAC ID by PECOS | 0840293551 |
Professional Enrollment ID | I20060818000478 |
Full Name | Frank R Bacque |
Organization Legal Name | SOUTHERN UROLOGY, LLC |
Address |
602 Saint Landry St Lafayette LA 70506-4628 |
Phone Number | 3372351200 |
Gender | M |
Credential | MD |
Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
Graduation Year | 1972 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 5597833772 |
Number of Group Practice Members | 25 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
190102 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
190002 | LAFAYETTE GENERAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
120 Rue Louis Xiv, Lafayette, LA 70508-5739 | 3377697779 | SOUTHERN UROLOGY, LLC |
602 Saint Landry St, Lafayette, LA 70506-4628 | 3372351200 | SOUTHERN UROLOGY, LLC |
Organization Legal Name | SOUTHERN UROLOGY, LLC |
Physicians | 24 |
Name | Specialty | Organization | Address |
---|---|---|---|
Laura Gamble Owens | Urology | Southern Urology, LLC | 1926 S Union St, Opelousas, LA 70570-5725 |
Scott Neusetzer | Urology | Southern Urology, LLC | 1016 Coolidge Blvd, Lafayette, LA 70503-2436 |
Marcel Lahaye | Urology | Southern Urology, LLC | 120 Rue Louis Xiv, Lafayette, LA 70508-5739 |
Samuel H Shuffler | Urology | Southern Urology, LLC | 1000 W Pinhook Rd, Suite 304, Lafayette, LA 70503-2460 |
Jason Bourque | Urology | Southern Urology, LLC | 120 Rue Louis Xiv, Lafayette, LA 70508-5739 |
William B Roth | Urology | Southern Urology, LLC | 1000 W Pinhook Rd, Suite 304, Lafayette, LA 70503-2460 |
Jacob Edward Landry | General Surgery | Southern Urology, LLC | 120 Rue Louis Xiv, Lafayette, LA 70508-5739 |
David A Jones | Radiation Oncology | Southern Urology, LLC | 120 Rue Louis Xiv, Lafayette, LA 70508-5739 |
Jeffrey J Thibodeaux | Urology | Southern Urology, LLC | 120 Rue Louis Xiv, Lafayette, LA 70508-5739 |
Jeannette Chassaignac | Urology | Southern Urology, LLC | 1016 Coolidge Blvd, Lafayette, LA 70503-2436 |
Street Address |
602 SAINT LANDRY ST |
City | LAFAYETTE |
State | LA |
Zip | 70506-4628 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel J Frey | General Surgery | 501 W St Mary Blvd, Suite 420, Lafayette, LA 70506 | |
Raphael J Higginbotham | Nephrology | Kidney Treatment Options Center of Lafayette, LLC | 301 Alcide Dominique Dr, Lafayette, LA 70506-1052 |
Michael K Liu | Nephrology | Kidney Treatment Options Center of Lafayette, LLC | 301 Alcide Dominique Dr, Lafayette, LA 70506-1052 |
Danna P Halpin | Clinical Social Worker | 2310 W Saint Mary Blvd, Lafayette, LA 70506-2512 | |
John J Broussard | Physical Therapy | Mts-lgh Therapy Services LLC | 2115 Dulles Dr, Lafayette, LA 70506-2652 |
Roberta B Schexnailder | Physical Therapy | Mts-lgh Therapy Services LLC | 2115 Dulles Dr, Lafayette, LA 70506-2652 |
Maisie M Hargett | Physical Therapy | Mts-lgh Therapy Services LLC | 2115 Dulles Dr, Lafayette, LA 70506-2652 |
Michael N Sheffield | Physical Therapy | Mts-lgh Therapy Services LLC | 2115 Dulles Dr, Lafayette, LA 70506-2652 |
Amanda H Wallace | Physical Therapy | Mts-lgh Therapy Services LLC | 2115 Dulles Dr, Lafayette, LA 70506-2652 |
Roxanne H Touchet | Physical Therapy | Mts-lgh Therapy Services LLC | 2115 Dulles Dr, Lafayette, LA 70506-2652 |
Find all physicians in zip 70506 |
City | LAFAYETTE |
Zip Code | 70506 |
Specialty | UROLOGY |
City + Specialty | LAFAYETTE + UROLOGY |
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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.