| Acadiana Pediatrics, L.l.c. | |
|
717 Curtis Dr Rayne LA 70578-8311 | |
| (337) 334-7551 | |
| (337) 334-7556 |
| Full Name | Acadiana Pediatrics, L.l.c. |
|---|---|
| Speciality | Pediatrics |
| Location | 717 Curtis Dr, Rayne, Louisiana |
| Authorized Official Name and Position | Mark Dawson (OWNER) |
| Authorized Official Contact | 3373347551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acadiana Pediatrics, L.l.c. 717 Curtis Dr Rayne LA 70578-8311 Ph: (337) 334-7551 | Acadiana Pediatrics, L.l.c. 717 Curtis Dr Rayne LA 70578-8311 Ph: (337) 334-7551 |
| NPI Number | 1912435710 |
|---|---|
| Provider Enumeration Date | 05/24/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7113299066 |
|---|---|
| Medicare Enrollment ID | O20170828001342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912435710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Marin R Dawson-caswell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356538276 PECOS PAC ID: 7315034048 Enrollment ID: I20071029000094 |
| Provider Name | Mark Henry Dawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043210271 PECOS PAC ID: 9032027529 Enrollment ID: I20100301000954 |
| Provider Name | Gretchen Z Cassedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356481782 PECOS PAC ID: 6204884273 Enrollment ID: I20111003000035 |
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Acadiana Family Medical Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 717 Curtis Dr, Rayne, LA 70578 Phone: 337-334-7551 Fax: 337-334-7556 | |
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Acadiana Pediatrics, L.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 717 Curtis Dr, Rayne, LA 70578 Phone: 337-334-7551 Fax: 337-334-7556 |