| Allen's Family Practice Clinic Of Ponchatoula, L.l.p. | |
|
105 E Oak St Ponchatoula LA 70454-2619 | |
| (985) 386-6198 | |
| (985) 386-6223 |
| Full Name | Allen's Family Practice Clinic Of Ponchatoula, L.l.p. |
|---|---|
| Speciality | Family Medicine |
| Location | 105 E Oak St, Ponchatoula, Louisiana |
| Authorized Official Name and Position | Cathy L. Allen (CLINIC MANAGER) |
| Authorized Official Contact | 9853866198 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allen's Family Practice Clinic Of Ponchatoula, L.l.p. Po Box 129 Ponchatoula LA 70454-0129 Ph: (985) 386-6198 | Allen's Family Practice Clinic Of Ponchatoula, L.l.p. 105 E Oak St Ponchatoula LA 70454-2619 Ph: (985) 386-6198 |
| NPI Number | 1992793095 |
|---|---|
| Provider Enumeration Date | 10/12/2005 |
| Last Update Date | 01/07/2010 |
| Medicare PECOS PAC ID | 9032207360 |
|---|---|
| Medicare Enrollment ID | O20071120000123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992793095 | NPI | - | NPPES |
| 1950009 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gregory Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952398356 PECOS PAC ID: 3779671896 Enrollment ID: I20100210000084 |
| Provider Name | Steve Lawrence Gaudin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649269390 PECOS PAC ID: 5597853614 Enrollment ID: I20100624000591 |
Strawberry Patch Pediatrics & Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1054 Sw Railroad Ave, Ponchatoula, LA 70454 Phone: 855-869-9898 Fax: 985-401-9898 | |
Michael J. Kozel, Md, A.p.m.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 W Oak St, Ponchatoula, LA 70454 Phone: 985-386-5943 Fax: 985-386-8080 | |
Family Healthcare Of Bedico, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27455 Highway 22 Ste B, Ponchatoula, LA 70454 Phone: 985-206-9877 Fax: 985-206-9875 |