| Acadiana Practitioners Llc | |
|
414 Saizan Avenue Port Barre LA 70577 | |
| (337) 447-4027 | |
| (337) 585-2674 |
| Full Name | Acadiana Practitioners Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 414 Saizan Avenue, Port Barre, Louisiana |
| Authorized Official Name and Position | Dustin Joseph Miller (PRESIDENT) |
| Authorized Official Contact | 3374474027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acadiana Practitioners Llc 2124 Highway 742 Opelousas LA 70570-0542 Ph: () - | Acadiana Practitioners Llc 414 Saizan Avenue Port Barre LA 70577 Ph: (337) 447-4027 |
| NPI Number | 1346755154 |
|---|---|
| Provider Enumeration Date | 12/04/2017 |
| Last Update Date | 06/19/2018 |
| Medicare PECOS PAC ID | 4587924188 |
|---|---|
| Medicare Enrollment ID | O20180221000713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346755154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 2203783812 (Louisiana) | Primary |
Port Barre Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17695 Highway 190, Port Barre, LA 70577 Phone: 337-308-0802 Fax: 337-585-7899 | |
Port Associates Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17449 Highway 190, Port Barre, LA 70577 Phone: 337-585-5270 Fax: 337-585-7176 |