Dedric J Clarke (NPI# 1508056441, PAC ID# 2769529965) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1508056441 |
| PAC ID by PECOS | 2769529965 |
| Professional Enrollment ID | I20091020000770 |
| Full Name | Dedric J Clarke |
| Organization Legal Name | EMERGENCY GROUP OF ST LANDRY LLC |
| Address |
800 E Main St Ville Platte LA 70586-4618 |
| Phone Number | 3373635684 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2004 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0749237212 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190167 | MERCY REGIONAL MEDICAL CENTER |
| 190176 | TULANE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 800 E Main St, Ville Platte, LA 70586-4618 | 3373635684 | EMERGENCY GROUP OF ST LANDRY LLC |
| Organization Legal Name | EMERGENCY GROUP OF ST LANDRY LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason T Chambers | Family Medicine | Emergency Group of St Landry LLC | 800 E Main St, Ville Platte, LA 70586-4618 |
| Adam P Giddings | Family Medicine | Emergency Group of St Landry LLC | 800 E Main St, Ville Platte, LA 70586-4618 |
| Kreshmeh Khosrowani | Emergency Medicine | Emergency Group of St Landry LLC | 800 E Main St, Ville Platte, LA 70586-4618 |
| Marc J Fernandez | Family Medicine | Emergency Group of St Landry LLC | 800 E Main St, Ville Platte, LA 70586-4618 |
| Prashant Gupta | Emergency Medicine | Emergency Group of St Landry LLC | 800 E Main St, Ville Platte, LA 70586-4618 |
| Jevin Bordelon | Emergency Medicine | Emergency Group of St Landry LLC | 800 E Main St, Ville Platte, LA 70586-4618 |
| Joseph Robert Griggs | Emergency Medicine | Emergency Group of St Landry LLC | 800 E Main St, Ville Platte, LA 70586-4618 |
| Ronald Lugo | Emergency Medicine | Emergency Group of St Landry LLC | 800 E Main St, Ville Platte, LA 70586-4618 |
| Eric Guilbeau | Family Practice | Emergency Group of St Landry LLC | 800 E Main St, Ville Platte, LA 70586-4618 |
| Larry J Leyser | Cardiovascular Disease (cardiology) | Emergency Group of St Landry LLC | 800 E Main St, Ville Platte, LA 70586-4618 |
| Street Address |
800 E MAIN ST |
| City | VILLE PLATTE |
| State | LA |
| Zip | 70586-4618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason T Chambers | Family Medicine | Emergency Group of St Landry LLC | 800 E Main St, Ville Platte, LA 70586-4618 |
| Adam P Giddings | Family Medicine | Emergency Group of St Landry LLC | 800 E Main St, Ville Platte, LA 70586-4618 |
| Kreshmeh Khosrowani | Emergency Medicine | Emergency Group of St Landry LLC | 800 E Main St, Ville Platte, LA 70586-4618 |
| Marc J Fernandez | Family Medicine | Emergency Group of St Landry LLC | 800 E Main St, Ville Platte, LA 70586-4618 |
| Kristine A Groskopp | Family Medicine | Rogue Valley Physicians | 800 E Main St, Medford, OR 97504-7134 |
| Prashant Gupta | Emergency Medicine | Emergency Group of St Landry LLC | 800 E Main St, Ville Platte, LA 70586-4618 |
| Monique A Noyes | Nurse Practitioner | Rogue Valley Physicians | 800 E Main St, Medford, OR 97504-7134 |
| John P Higgins | Diagnostic Radiology | Radiology Specialty Group LLC | 800 E Main St, Ville Platte, LA 70586-4618 |
| Mary E Barnum | Nurse Practitioner | Rogue Valley Physicians | 800 E Main St, Medford, OR 97504-7134 |
| Jevin Bordelon | Emergency Medicine | Emergency Group of St Landry LLC | 800 E Main St, Ville Platte, LA 70586-4618 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany F Miller | Nurse Practitioner | 1535 W Main St, 100 La Bonne Vie Family Healthcare and Ae, Ville Platte, LA 70586-2867 | |
| Charles E Fontenot | General Practice | Charles E. Fontenot, M.d., A Medical Corporation | 1535 W Main St, Ville Platte, LA 70586-2867 |
| Craig A Robin | Chiropractic | 1535 W Main St, 5 Robin Chiropractic Health Center, Ville Platte, LA 70586-2868 | |
| Adam John Tassin Jr. | Family Medicine | 1535 W Main St, Suite 1, Ville Platte, LA 70586-2868 | |
| Nicholas C Turk | Chiropractic | 1535 W Main St, 5 Nicholas C Turk D.c., Ville Platte, LA 70586-2868 | |
| Clayborne M Landreneau | Physical Therapy | Healthwork Rehab, LLC | 1477 W Lasalle St, Ville Platte, LA 70586-2974 |
| Andrew B Poche | Physical Therapy | Healthwork Rehab, LLC | 1477 W Lasalle St, Ville Platte, LA 70586-2974 |
| David L Vidrine | Physical Therapy | Healthwork Rehab, LLC | 1477 W Lasalle St, Ville Platte, LA 70586-2974 |
| Dana D Batts | Nurse Practitioner | 407 E Lincoln Rd, Ville Platte, LA 70586-3431 | |
| Thomas G. Fontenot | Family Medicine | 417 E Lincoln Rd, Ville Platte, LA 70586-3431 | |
| Find all physicians in zip 70586 | |||
| City | VILLE PLATTE |
| Zip Code | 70586 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | VILLE PLATTE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Dedric J Clarke.
| 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.