Matthew S Fontenot
COOLIDGE PHYSICIAN SERVICES LLC


Address: 1214 Coolidge Blvd, Lafayette, LA 70503-2621
Phone: 3372897991

Matthew S Fontenot (NPI# 1013985530, PAC ID# 6800821034) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.

Physician Overview

Nation Provider ID (NPI) 1013985530
PAC ID by PECOS 6800821034
Professional Enrollment ID I20050927000921
Full Name Matthew S Fontenot
Organization Legal Name COOLIDGE PHYSICIAN SERVICES LLC
Address 1214 Coolidge Blvd
Lafayette
LA 70503-2621
Phone Number 3372897991
Gender M
Credential MD
Medical School LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year 2000
Primary Specialty NEPHROLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 7113156035
Number of Group Practice Members 29
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190002 LAFAYETTE GENERAL MEDICAL CENTER

Other Locations

Address Phone Organization
1214 Coolidge Blvd, Lafayette, LA 70503-2621 3372897991 COOLIDGE PHYSICIAN SERVICES 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%

Organization Information

Organization Legal Name COOLIDGE PHYSICIAN SERVICES LLC
Physicians 21

Physicians with the same organization

Name Specialty Organization Address
Ali Saeed Internal Medicine Coolidge Physician Services LLC 1214 Coolidge Blvd, Lafayette, LA 70503-2621
Jay Babu Patel Internal Medicine Coolidge Physician Services LLC 1214 Coolidge Blvd, Lafayette, LA 70503-2621
Priyanka Sharma Emergency Medicine Coolidge Physician Services LLC 1214 Coolidge Blvd, Lafayette, LA 70503-2621
Jacob Michael O'quin Physician Assistant Coolidge Physician Services LLC 1214 Coolidge Blvd, Lafayette, LA 70503-2621
Shema Abraham Internal Medicine Coolidge Physician Services LLC 1214 Coolidge Blvd, Lafayette, LA 70503-2621
Ross M Doize Internal Medicine Coolidge Physician Services LLC 1214 Coolidge Blvd, Lafayette, LA 70503-2621
Garth T King Emergency Medicine Coolidge Physician Services LLC 1214 Coolidge Blvd, Lafayette, LA 70503-2621
Christopher C Landry Internal Medicine Coolidge Physician Services LLC 1214 Coolidge Blvd, Lafayette, LA 70503-2621
Brandy L Molbert Nurse Practitioner Coolidge Physician Services LLC 1214 Coolidge Blvd, Lafayette, LA 70503-2621
Mihail V Borissov Internal Medicine Coolidge Physician Services LLC 1214 Coolidge Blvd, Lafayette, LA 70503-2621

Office Location

Street Address 1214 COOLIDGE BLVD
City LAFAYETTE
State LA
Zip 70503-2621

Physicians in the same location

Name Specialty Organization Address
Lance P Fogleman Emergency Medicine Coolidge Emergency Group LLC 1214 Coolidge Blvd, Lafayette, LA 70503-2696
Ali Saeed Internal Medicine Coolidge Physician Services LLC 1214 Coolidge Blvd, Lafayette, LA 70503-2621
Patsy Jenkins Nurse Practitioner Coolidge Emergency Group LLC 1214 Coolidge Blvd, Lafayette, LA 70503-2696
Gregg M Barre Pathology Preferred Anatomic Pathology Services Inc 1214 Coolidge Blvd, Lafayette, LA 70503-2621
Mareesa P Mathers Nurse Practitioner Lafayette General Medical Center Inc 1214 Coolidge Blvd, Lafayette, LA 70503-2621
Richard J Howell Ii Certified Registered Nurse Anesthetist (crna) Parish Anesthesia of Lafayette, LLC 1214 Coolidge Blvd, Lafayette, LA 70503-2621
Crystal B Jackson Anesthesiology Parish Anesthesia of Lafayette, LLC 1214 Coolidge Blvd, Lafayette, LA 70503-2621
Jay Babu Patel Internal Medicine Coolidge Physician Services LLC 1214 Coolidge Blvd, Lafayette, LA 70503-2621
Priyanka Sharma Emergency Medicine Coolidge Physician Services LLC 1214 Coolidge Blvd, Lafayette, LA 70503-2621
Joelle E Guidry Certified Registered Nurse Anesthetist (crna) Parish Anesthesia of Lafayette, LLC 1214 Coolidge Blvd, Lafayette, LA 70503-2621
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Physicians in the same zip code

Name Specialty Organization Address
Byrnes E Tatford Physical Therapy Mts-lgh Therapy Services LLC 111 Pasa Place, Lafayette, LA 70503
John M Bienvenu Physical Therapy Mts-lgh Therapy Services LLC 111 Pasa Place, Lafayette, LA 70503
Zachary J Mire Physical Therapy Acadiana Physical Therapy, Inc 816 Harding St, Lafayette, LA 70503-2320
Kerry J.c Hoffpauir Physical Therapy Acadiana Physical Therapy, Inc 816 Harding St, Lafayette, LA 70503-2320
Rodi L Aucoin Physical Therapy Acadiana Physical Therapy, Inc 816 Harding St, Lafayette, LA 70503-2320
Jeffrey T Faber Physical Therapy Acadiana Physical Therapy, Inc 816 Harding St, Lafayette, LA 70503-2320
Francesca Marie Marino Chiropractic Leblanc Spine and Nerve, LLC 1014 Auburn Ave, Lafayette, LA 70503-2360
Jiles P Leblanc Chiropractic Leblanc Spine and Nerve, LLC 1014 Auburn Ave, Lafayette, LA 70503-2360
Christopher B Davis Physical Therapy Pain and Performance Rehab Inc 325 Oil Ctr Dr, Lafayette, LA 70503-2419
Derrick Hines Physical Therapy Pain and Performance Rehab Inc 325 Oil Ctr Dr, Lafayette, LA 70503-2419
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Competitor

Search similar physicians

City LAFAYETTE
Zip Code 70503
Specialty NEPHROLOGY
City + Specialty LAFAYETTE + NEPHROLOGY

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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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