MEDICARE: DR. GERARD G GUERIN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier
2	213E00000X	Podiatrist	80070	MS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00218384	OTHER	MS	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629098660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERARD G GUERIN DPM

Provider Business Mailing Address
First Line	:	47026 SCOTT DR
Second Line	:
City	:	HAMMOND
State	:	LA
Zip	:	70401-7323
Country	:	US
Telephone Number	:	601-362-3158
Fax Number	:	601-987-8800

Provider Business Practice Location Address
First Line	:	5787 S HAMPTON RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75232-2255
Country	:	US
Telephone Number	:	601-362-3158
Fax Number	:	601-987-8800

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	02/07/2018

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Directions to “ DR. GERARD G GUERIN DPM” Practice Location

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