Mr. Ted Etell Fontenot is a Lake Charles, Louisiana based nurse practitioner with 14 years of experience in Adult Health. He completed his graduation in 2011. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Ted Etell Fontenot is AP06448 for Adult Health in Louisiana. His current practice location is 1717 Oak Park Blvd Fl 2, Lake Charles. Patients can reach him at 337-494-3278 or can fax him at 337-494-3240. Mr. Ted Etell Fontenot is ANP with specialization in Adult Health and his NPI number (Unique professional ID assigned by NPPES) is 1598052052. Mr. Ted Etell Fontenot can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. He can see patients and promote healthy living and wellness. He can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Mr. Ted Etell Fontenot speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mr. Ted Etell Fontenot
Specialization:
Adult Health Nurse Practitioner (ANP)
Gender:
Male
Credentials:
ANP
Experience:
14+ years
Medical School Attended:
Other
Graduation Year:
2011
Accepts Medicare Assignment:
Yes
Practice Address:
1717 Oak Park Blvd Fl 2, Lake Charles, Louisiana, 70601-8990
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4385816081
Enrollment ID:
I20110930000144
NPI Number:
1598052052
NPI Enumeration Date:
06 Jul, 2011
NPI Last Update On:
27 Apr, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Ted Etell Fontenot are as mentioned below.
License Number
Specialization
State
Status
AP06448
Adult Health
Louisiana
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(190060)
Lake charles, LA
Acute Care Hospital
(190050)
Deridder, LA
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Ted Etell Fontenot is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Lake Charles Memorial Heart And Vascular Center (4082689914)
12
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Ted Etell Fontenot such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2159445
Medicaid
Louisiana
AP06448
Other
Louisiana
STATE LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Ted Etell Fontenot Po Box 122152 Dept 2152, Dallas, Texas
Zip:
75312-0001
Phone Number:
337-494-2921
Fax Number:
337-494-6523
Patients can reach Mr. Ted Etell Fontenot at 1717 Oak Park Blvd Fl 2, Lake Charles, Louisiana or can call to book an appointment on 337-494-3278.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.