Phillip R Bacilla Jr. (NPI# 1598732133, PAC ID# 4486672649) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1598732133 |
| PAC ID by PECOS | 4486672649 |
| Professional Enrollment ID | I20060314000639 |
| Full Name | Phillip R Bacilla Jr. |
| Organization Legal Name | OPELOUSAS ORTHOPAEDIC CLINIC |
| Address |
4015 Hwy I-49 S Service Rd Opelousas LA 70570 |
| Phone Number | 3379426503 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1985 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 2567473002 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190017 | OPELOUSAS GENERAL HEALTH SYSTEM |
| 190167 | MERCY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 | 3379426503 | OPELOUSAS ORTHOPAEDIC CLINIC |
| Organization Legal Name | OPELOUSAS ORTHOPAEDIC CLINIC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David B Clause | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Thomas R Butaud | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Mark G Nelson | Physician Assistant | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Gary L Porubsky | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Street Address |
4015 HWY I-49 S SERVICE RD |
| City | OPELOUSAS |
| State | LA |
| Zip | 70570 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David B Clause | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Thomas R Butaud | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Mark G Nelson | Physician Assistant | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Gary L Porubsky | Orthopedic Surgery | Opelousas Orthopaedic Clinic | 4015 Hwy I-49 S Service Rd, Opelousas, LA 70570 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zvi Aviner | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Sue E Myers | Optometry | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Leon C Lahaye | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Daniel K Kim | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Lionel Smith | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| Clarence B Billingsley | Ophthalmology | Lahaye Center for Advanced Eye Care, Apmc | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 |
| John T Allgood Jr. | Physician Assistant | Richard J. Bidstrup, M.d. Ltd. | 4049 I-49 S Service Rd, Opelousas, LA 70570-0757 |
| Richard J Bidstrup | Allergy/immunology | Richard J. Bidstrup, M.d. Ltd. | 4049 I-49 S Service Rd, Opelousas, LA 70570-0757 |
| Chad J Mathews | Emergency Medicine | Opelousas Emergency Group LLC | 3983 I 49 S Service Rd, Opelousas, LA 70570-0758 |
| Michael W Basile | Family Medicine | The Family Clinic Inc | 3921 Hwy I 49 S Service Rd, Opelousas, LA 70570-0758 |
| Find all physicians in zip 70570 | |||
| City | OPELOUSAS |
| Zip Code | 70570 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | OPELOUSAS + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Phillip R Bacilla 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.