Advanced Woundcare Specialists Llc | |
104 Hidden Path Dr Pineville LA 71360-2202 | |
(318) 229-5055 | |
Not Available |
Full Name | Advanced Woundcare Specialists Llc |
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Speciality | Clinic/Center |
Location | 104 Hidden Path Dr, Pineville, Louisiana |
Authorized Official Name and Position | Michael J Hebert (PRACTICE MANAGER) |
Authorized Official Contact | 3182295055 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Woundcare Specialists Llc 104 Hidden Path Dr Pineville LA 71360-2202 Ph: (318) 229-5055 | Advanced Woundcare Specialists Llc 104 Hidden Path Dr Pineville LA 71360-2202 Ph: (318) 229-5055 |
NPI Number | 1548002942 |
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Provider Enumeration Date | 06/07/2024 |
Last Update Date | 07/11/2024 |
Medicare PECOS PAC ID | 5698212736 |
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Medicare Enrollment ID | O20240806004467 |
Identifier | Type | State | Issuer |
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1548002942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Louis C Benjamin |
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Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1801945936 PECOS PAC ID: 0941282396 Enrollment ID: I20071120000141 |
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