MEDICARE: DR. ALYCE R. ADAMS M.D.,CDE

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	207P00000X	Emergency Medicine Physician	MD04520R	LA
2	174400000X	Specialist	04520R	LA
3	207R00000X	Internal Medicine Physician	MD.04520R	LA

Other Identifiers

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

General Provider Information

NPI Number	:	1700806767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALYCE R. ADAMS M.D.,CDE

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	318-966-8420
Fax Number	:	225-765-9196

Provider Business Practice Location Address
First Line	:	3106 CYPRESS ST
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-5203
Country	:	US
Telephone Number	:	318-966-8420
Fax Number	:	318-966-8421

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	06/20/2024

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