Ted Etell Fontenot Jr. (NPI# 1598052052, PAC ID# 4385816081) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1598052052 |
| PAC ID by PECOS | 4385816081 |
| Professional Enrollment ID | I20110930000144 |
| Full Name | Ted Etell Fontenot Jr. |
| Organization Legal Name | LAKE CHARLES MEMORIAL HEART AND VASCULAR CENTER |
| Address |
1717 Oak Park Blvd Fl 2 Lake Charles LA 70601-8990 |
| Phone Number | 3374943278 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4082689914 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190060 | LAKE CHARLES MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 501 Shirley St, Deridder, LA 70634-3859 | 3374629100 | LAKE CHARLES MEMORIAL HEART AND VASCULAR CENTER |
| 1717 Oak Park Blvd, Fl 2, Lake Charles, LA 70601-8990 | 3374943278 | LAKE CHARLES MEMORIAL HEART AND VASCULAR CENTER |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 4% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 95% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 32% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 2% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 0% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 21% |
| Organization Legal Name | LAKE CHARLES MEMORIAL HEART AND VASCULAR CENTER |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cody A Dougay | Nurse Practitioner | Lake Charles Memorial Heart and Vascular Center | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 |
| Britney Leger Bergeron | Nurse Practitioner | Lake Charles Memorial Heart and Vascular Center | 1717 Oak Park Blvd, Fl 2, Lake Charles, LA 70601-8990 |
| Randalla Taren Reynolds | Nurse Practitioner | Lake Charles Memorial Heart and Vascular Center | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 |
| Joseph Gregory Lugo | Cardiac Surgery | Lake Charles Memorial Heart and Vascular Center | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 |
| Therese A Novak | Nurse Practitioner | Lake Charles Memorial Heart and Vascular Center | 1717 Oak Park Blvd, Suite 2, Lake Charles, LA 70601-8990 |
| Larry H Smith | Cardiovascular Disease (cardiology) | Lake Charles Memorial Heart and Vascular Center | 1717 Oak Park Blvd, Suite 2, Lake Charles, LA 70601-8990 |
| Street Address |
1717 OAK PARK BLVD FL 2 |
| City | LAKE CHARLES |
| State | LA |
| Zip | 70601-8990 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett M Cascio | Orthopedic Surgery | Lake Charles Medical Services Orthopaedics Associates LLC | 1717 Oak Park Blvd, Suite 3, Lake Charles, LA 70601-8990 |
| Jessica Zaunbrecher | Nurse Practitioner | Lake Charles Medical Services Orthopaedics Associates LLC | 1717 Oak Park Blvd, Suite 3, Lake Charles, LA 70601-8990 |
| Michael A Hinton | Orthopedic Surgery | Lake Charles Medical Services Orthopaedics Associates LLC | 1717 Oak Park Blvd, Suite 3, Lake Charles, LA 70601-8990 |
| Nathan P Cohen | Orthopedic Surgery | Lake Charles Medical Services Orthopaedics Associates LLC | 1717 Oak Park Blvd, Suite 3, Lake Charles, LA 70601-8990 |
| Matthew R Mccarley | Hand Surgery | Lake Charles Medical Services Orthopaedics Associates LLC | 1717 Oak Park Blvd, Suite 3, Lake Charles, LA 70601-8990 |
| Rikki L Monticello | Nurse Practitioner | Lake Charles Medical Services Orthopaedics Associates LLC | 1717 Oak Park Blvd, Suite 3, Lake Charles, LA 70601-8990 |
| Jeremy W Morris | Nurse Practitioner | Lake Charles Medical Services Orthopaedics Associates LLC | 1717 Oak Park Blvd, Suite 3, Lake Charles, LA 70601-8990 |
| Kim N Poludnianyk | Orthopedic Surgery | Lake Charles Medical Services Orthopaedics Associates LLC | 1717 Oak Park Blvd, Suite 3, Lake Charles, LA 70601-8990 |
| Britney Leger Bergeron | Nurse Practitioner | Lake Charles Memorial Heart and Vascular Center | 1717 Oak Park Blvd, Fl 2, Lake Charles, LA 70601-8990 |
| Kathryn Olivia Zimmerman | Physician Assistant | Lake Charles Medical Services Orthopaedics Associates LLC | 1717 Oak Park Blvd, Suite 3, Lake Charles, LA 70601-8990 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nauman Qureshi | Internal Medicine | 333 Michael Debakey Dr, Suite 250, Lake Charles, LA 70601 | |
| Peter W Karam | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Amanda V Burnett | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Jennifer Taylor Graham | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Susan B Bourgeois Ieyoub | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Haley Angelle Landry | Nurse Practitioner | Lcms Pulmonary Associates of Southwest Louisiana | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Karie Joy Savoy | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Ronald M Lewis Jr. | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Brian D Clements | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Cristian Romero | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Find all physicians in zip 70601 | |||
| City | LAKE CHARLES |
| Zip Code | 70601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAKE CHARLES + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ted Etell Fontenot Jr..
| 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.