Mr Frederic Poulin, P T | |
1200 S Farmerville St, Ruston, LA 71270-5941 | |
(318) 251-6103 | |
(318) 251-6141 |
Full Name | Mr Frederic Poulin |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 30 Years |
Location | 1200 S Farmerville St, Ruston, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700990835 | NPI | - | NPPES |
1599751 | Other | LA | LA PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 02325F (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Green Clinic Llc | 4789668831 | 50 |
Provider Name | Green Clinic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891801601 PECOS PAC ID: 4789668831 Enrollment ID: O20050920000235 |
Mailing Address | Practice Location Address |
---|---|
Mr Frederic Poulin, P T Po Box 1594, Ruston, LA 71273-1594 Ph: (318) 251-6103 | Mr Frederic Poulin, P T 1200 S Farmerville St, Ruston, LA 71270-5941 Ph: (318) 251-6103 |
Gregory Medlin, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1701 Commerce St, Ruston, LA 71270 Phone: 318-224-8994 | |
Anna Mitchell Cox, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 143 Woodstone Dr, Ruston, LA 71270 Phone: 318-245-3312 | |
Rock Island Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 927 N Trenton St, Ruston, LA 71270 Phone: 318-513-3008 Fax: 318-513-3009 | |
Dan Dupree, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1923 Farmerville Hwy, Ruston, LA 71270 Phone: 318-255-9601 Fax: 318-255-7971 | |
Joseph P Khoury, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 N Monroe St, Ruston, LA 71270 Phone: 318-251-2995 | |
Adele Upshaw, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1923 Farmerville Hwy, Ruston, LA 71270 Phone: 318-255-9601 | |
Stephen Luke Ramsey, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1701 Commerce St, Ruston, LA 71270 Phone: 318-224-8994 Fax: 318-224-7094 |