Amanda M Lacomb
ST. MARTIN PHYSICIAN SERVICES LLC


Address: 210 Champagne Blvd, Breaux Bridge, LA 70517-3700
Phone: 3373322178

Amanda M Lacomb (NPI# 1427184126, PAC ID# 3173534054) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1427184126
PAC ID by PECOS 3173534054
Professional Enrollment ID I20060505000840
Full Name Amanda M Lacomb
Organization Legal Name ST. MARTIN PHYSICIAN SERVICES LLC
Address 210 Champagne Blvd
Breaux Bridge
LA 70517-3700
Phone Number 3373322178
Gender F
Credential MD
Medical School UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year 1996
Primary Specialty FAMILY MEDICINE
Secondary Specialties EMERGENCY MEDICINE, GERIATRIC MEDICINE
Group Practice PAC ID 0446495410
Number of Group Practice Members 6
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190053 JENNINGS AMERICAN LEGION HOSPITAL
191302 ST MARTIN HOSPITAL
190044 ACADIA GENERAL HOSPITAL

Other Locations

Address Phone Organization
210 Champagne Blvd, Breaux Bridge, LA 70517-3700 3373322178 ST. MARTIN PHYSICIAN SERVICES LLC
1634 Elton Rd, Jennings, LA 70546-3614 3376167000 JEFFERSON DAVIS PHYSICIAN SERVICES, LLC
1310 W 7th St, Kaplan, LA 70548-2910 3376438300 HUB CITY PHYSICIAN GROUP LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
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%

Organization Information

Organization Legal Name ST. MARTIN PHYSICIAN SERVICES LLC
Physicians 7

Physicians with the same organization

Name Specialty Organization Address
Maria Del C Martinez Internal Medicine St. Martin Physician Services LLC 210 Champagne Blvd, Breaux Bridge, LA 70517-3700
Rajachendra S Tumma Internal Medicine St. Martin Physician Services LLC 210 Champagne Blvd, Breaux Bridge, LA 70517-3700
Ariadne A Gauthier Internal Medicine St. Martin Physician Services LLC 210 Champagne Blvd, Breaux Bridge, LA 70517-3700
David M Grace Internal Medicine St. Martin Physician Services LLC 210 Champagne Blvd, Breaux Bridge, LA 70517-3700
Brady K Guillory Internal Medicine St. Martin Physician Services LLC 210 Champagne Blvd, Breaux Bridge, LA 70517-3700
Chad N Heinen Internal Medicine St. Martin Physician Services LLC 210 Champagne Blvd, Breaux Bridge, LA 70517-3700

Office Location

Street Address 210 CHAMPAGNE BLVD
City BREAUX BRIDGE
State LA
Zip 70517-3700

Physicians in the same location

Name Specialty Organization Address
Maria Del C Martinez Internal Medicine St. Martin Physician Services LLC 210 Champagne Blvd, Breaux Bridge, LA 70517-3700
Shane M Durkes Emergency Medicine St Martin Emergency Group LLC 210 Champagne Blvd, Breaux Bridge, LA 70517-3700
Rajachendra S Tumma Internal Medicine St. Martin Physician Services LLC 210 Champagne Blvd, Breaux Bridge, LA 70517-3700
Ariadne A Gauthier Internal Medicine St. Martin Physician Services LLC 210 Champagne Blvd, Breaux Bridge, LA 70517-3700
David M Grace Internal Medicine St. Martin Physician Services LLC 210 Champagne Blvd, Breaux Bridge, LA 70517-3700
Brady K Guillory Internal Medicine St. Martin Physician Services LLC 210 Champagne Blvd, Breaux Bridge, LA 70517-3700
Lindsay B Hymel Emergency Medicine St Martin Emergency Group LLC 210 Champagne Blvd, Breaux Bridge, LA 70517-3700
Christopher J Matt Emergency Medicine St Martin Emergency Group LLC 210 Champagne Blvd, Breaux Bridge, LA 70517-3700
Brandon Scott Ammon Emergency Medicine St Martin Emergency Group LLC 210 Champagne Blvd, Breaux Bridge, LA 70517-3700
Aaron M Foster Family Medicine St Martin Emergency Group LLC 210 Champagne Blvd, Breaux Bridge, LA 70517-3700
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Srinivasa Yerasi Pediatric Medicine Pediatric Group of Acadiana, LLC 555 Lakes Blvd, Breaux Bridge, LA 70517-3240
Garett P Thibodeaux Optometry 1525 E Bridge St, Breaux Bridge, LA 70517-3401
Jaime M Cordova Internal Medicine 1442 E Bridge St, Breaux Bridge, LA 70517-3406
Eric Elias Obstetrics/gynecology 1546 Gary Dr, Breaux Bridge, LA 70517-3447
Luris M Sanchez Family Medicine St Martin Hospital Inc 1555 Gary Dr, Suite A, Breaux Bridge, LA 70517-3448
Anthony I Blanchard Podiatry 1555 Gary Dr, Breaux Bridge, LA 70517-3448
Israel Wootton Emergency Medicine St Martin Emergency Group LLC 210 Champagne Blvd, Breaux Bridge, LA 70517-3700
Brandon J Mong Emergency Medicine St Martin Emergency Group LLC 210 Champagne Blvd, Breaux Bridge, LA 70517-3700
Chad N Heinen Internal Medicine St. Martin Physician Services LLC 210 Champagne Blvd, Breaux Bridge, LA 70517-3700
Caroline D White Nurse Practitioner St Martin Hospital Inc 225 Champagne Blvd, Breaux Bridge, LA 70517-3733
Find all physicians in zip 70517

Competitor

Search similar physicians

City BREAUX BRIDGE
Zip Code 70517
Specialty FAMILY MEDICINE
City + Specialty BREAUX BRIDGE + FAMILY MEDICINE

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Dataset Information

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.

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