| Allegiance Medical Clinic Of Dequincy Llc | |
|
601 W 4th St Dequincy LA 70633-3301 | |
| (337) 786-6161 | |
| (337) 786-7999 |
| Full Name | Allegiance Medical Clinic Of Dequincy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 W 4th St, Dequincy, Louisiana |
| Authorized Official Name and Position | Renee Michelle Willis (CLINIC MANAGER) |
| Authorized Official Contact | 3377861271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allegiance Medical Clinic Of Dequincy Llc 601 W 4th St Dequincy LA 70633-3301 Ph: (337) 786-6161 | Allegiance Medical Clinic Of Dequincy Llc 601 W 4th St Dequincy LA 70633-3301 Ph: (337) 786-6161 |
| NPI Number | 1073267076 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 09/19/2024 |
| Medicare PECOS PAC ID | 1850779950 |
|---|---|
| Medicare Enrollment ID | O20220601002914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073267076 | NPI | - | NPPES |
| Provider Name | Jalal Joudeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861425324 PECOS PAC ID: 9931146230 Enrollment ID: I20110606000727 |
| Provider Name | Savannah T Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285996306 PECOS PAC ID: 1557527793 Enrollment ID: I20120716000570 |
| Provider Name | Julie E Thorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194334433 PECOS PAC ID: 6305262486 Enrollment ID: I20200819003662 |
| Provider Name | Jacob Damien Leger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346701422 PECOS PAC ID: 1759619042 Enrollment ID: I20220818002583 |
| Provider Name | Nhu Q Hoang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518526334 PECOS PAC ID: 2365771573 Enrollment ID: I20220823000683 |
Chadha Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 W 4th St, Dequincy, LA 70633 Phone: 337-786-5007 Fax: 337-786-5009 | |
Clhg-dequincy Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W 4th St, Dequincy, LA 70633 Phone: 337-786-6161 | |
Chadha Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 140 W 4th St, Dequincy, LA 70633 Phone: 337-786-5007 Fax: 337-786-5009 | |
Clhg-dequincy Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W 4th St, Dequincy, LA 70633 Phone: 337-786-6161 | |
Dequincy Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 W 4th St, Dequincy, LA 70633 Phone: 337-786-6161 Fax: 337-786-7999 | |
Jacobs Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 E Fourth St, Dequincy, LA 70633 Phone: 337-786-3030 Fax: 337-786-5066 |