Bayou Md, Lc | |
990 Highway 425 Rayville LA 71269-6489 | |
(888) 923-6363 | |
(888) 923-6363 |
Full Name | Bayou Md, Lc |
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Speciality | Family Medicine |
Location | 990 Highway 425, Rayville, Louisiana |
Authorized Official Name and Position | Brian Paul Krier (OWNER/MANAGER) |
Authorized Official Contact | 8889236363 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bayou Md, Lc Po Box 1164 Rayville LA 71269-1164 Ph: (888) 923-6363 | Bayou Md, Lc 990 Highway 425 Rayville LA 71269-6489 Ph: (888) 923-6363 |
NPI Number | 1003089525 |
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Provider Enumeration Date | 04/04/2008 |
Last Update Date | 04/04/2008 |
Medicare PECOS PAC ID | 3577641919 |
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Medicare Enrollment ID | O20080424000689 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003089525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Brian P Krier |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619903739 PECOS PAC ID: 0941234025 Enrollment ID: I20050920000151 |
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