<unavail> in Basile, LA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Basile, Louisiana. The current practice location for is 1431 Fuselier Ave, Basile, Louisiana. For appointments, you can reach them via phone at (337) 432-0200. The mailing address for is 801 Poinciana Ave, Mamou, Louisiana and phone number is (337) 432-0200.

is licensed to practice in Louisiana (license number 2203783121). The clinic also participates in the medicare program and its NPI number is 1609234012. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (337) 432-0200.

Contact Information


	1431 Fuselier Ave Basile LA 70515-5583
	(337) 432-0200
	(337) 432-0202

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1431 Fuselier Ave, Basile, Louisiana
Authorized Official Name and Position	Michael W. Johnson (PRESIDENT)
Authorized Official Contact	3374680355
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
801 Poinciana Ave Mamou LA 70554-2243 Ph: (337) 432-0200	1431 Fuselier Ave Basile LA 70515-5583 Ph: (337) 432-0200

NPI Details:

NPI Number	1609234012
Provider Enumeration Date	02/01/2016
Last Update Date	08/08/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	1557403953
Medicare Enrollment ID	O20160719002467

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609234012	NPI	-	NPPES
2455478	Medicaid	LA
193924	Other	LA	MEDICARE RHC CCN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	2203783121 (Louisiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Tara Baquet
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1982042024 PECOS PAC ID: 7416182878 Enrollment ID: I20131021001456

Reviews and Comments

Clinic/Center in Basile, LA

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2932 Stagg Ave, Basile, LA 70515 Phone: 337-432-5552 Fax: 337-432-5553
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2932 Stagg Ave, Ste A, Basile, LA 70515 Phone: 337-432-5552 Fax: 337-432-5553
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2932 Stagg Ave, Suite A, Basile, LA 70515 Phone: 337-432-5552 Fax: 337-432-5553

- Medicare Primary Care in Basile, LA