Beauregard Medical And Surgical Center, Llc | |
301 S Washington St Deridder LA 70634-4861 | |
(337) 462-7409 | |
(337) 462-7479 |
Full Name | Beauregard Medical And Surgical Center, Llc |
---|---|
Speciality | Internal Medicine |
Location | 301 S Washington St, Deridder, Louisiana |
Authorized Official Name and Position | Darrell L. Kingham (CFO) |
Authorized Official Contact | 3374627409 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Beauregard Medical And Surgical Center, Llc Po Box 730 Deridder LA 70634-0730 Ph: (337) 462-7409 | Beauregard Medical And Surgical Center, Llc 301 S Washington St Deridder LA 70634-4861 Ph: (337) 462-7409 |
NPI Number | 1326348962 |
---|---|
Provider Enumeration Date | 10/29/2010 |
Last Update Date | 11/04/2016 |
Medicare PECOS PAC ID | 6709066541 |
---|---|
Medicare Enrollment ID | O20110210000569 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326348962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Fernando G Garcia |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992707236 PECOS PAC ID: 0547174658 Enrollment ID: I20031113000473 |
Provider Name | Steven C Farquhar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538153002 PECOS PAC ID: 4981686995 Enrollment ID: I20040603000719 |
Provider Name | Andres J Guillermo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639379837 PECOS PAC ID: 8426245747 Enrollment ID: I20101211000128 |
Provider Name | Claire Duos Joubert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306272281 PECOS PAC ID: 3072742907 Enrollment ID: I20140218001547 |
Provider Name | Dennis W. Kleinpeter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154747186 PECOS PAC ID: 2062738149 Enrollment ID: I20150309000757 |
Provider Name | Gretchen Renee Wilkerson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689080269 PECOS PAC ID: 8921325796 Enrollment ID: I20151124000378 |
Provider Name | Kallie I Hess |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316308927 PECOS PAC ID: 9931492998 Enrollment ID: I20160728000335 |
Provider Name | Amanda Leigh Harrell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295082568 PECOS PAC ID: 9537453618 Enrollment ID: I20161121001056 |
Provider Name | Donna Lynn Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821465824 PECOS PAC ID: 7911336607 Enrollment ID: I20200331003545 |
Provider Name | Samantha F Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699384628 PECOS PAC ID: 0042636615 Enrollment ID: I20200812003751 |
Provider Name | Steven Reed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619550308 PECOS PAC ID: 4880094234 Enrollment ID: I20210607002918 |
Provider Name | Christine M Hoffpauir |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063087112 PECOS PAC ID: 4486050002 Enrollment ID: I20210908000548 |
Provider Name | Christina Angelique Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023789328 PECOS PAC ID: 5395133029 Enrollment ID: I20211028001669 |
Provider Name | Kellie Paddy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154564169 PECOS PAC ID: 6204069081 Enrollment ID: I20211202000859 |
Provider Name | Kati L Dooley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902482102 PECOS PAC ID: 3173917762 Enrollment ID: I20220224001349 |
Provider Name | Rachel Anne Martin |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1912509555 PECOS PAC ID: 2264898477 Enrollment ID: I20230512002595 |
Imperial Health Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W 5th St, Deridder, LA 70634 Phone: 337-202-7850 | |
Davenport Family Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W 6th St, Deridder, LA 70634 Phone: 337-460-0690 Fax: 337-460-0961 | |
Beauregard Parish School Board Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W 3rd St, Deridder, LA 70634 Phone: 337-463-5551 | |
Kufoy Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 S Pine St, Deridder, LA 70634 Phone: 337-463-3500 Fax: 337-463-3526 | |
Beauregard Parish School Board Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W 3rd St, Deridder, LA 70634 Phone: 337-463-5551 | |
Family Health Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1808 Highway 190 W, Deridder, LA 70634 Phone: 337-855-9023 Fax: 337-855-1829 |