Breaux Internal Medicine And Pediatric Clinic | |
1722 Westwood St. Lake Charles LA 70601 | |
(337) 491-7072 | |
(337) 491-7076 |
Full Name | Breaux Internal Medicine And Pediatric Clinic |
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Speciality | Internal Medicine |
Location | 1722 Westwood St., Lake Charles, Louisiana |
Authorized Official Name and Position | Adrienne Lynn Breaux (PHYSICIAN) |
Authorized Official Contact | 3374917072 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Breaux Internal Medicine And Pediatric Clinic 1722 Westwood St. Lake Charles LA 70601 Ph: (337) 491-7072 | Breaux Internal Medicine And Pediatric Clinic 1722 Westwood St. Lake Charles LA 70601 Ph: (337) 491-7072 |
NPI Number | 1457531881 |
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Provider Enumeration Date | 11/14/2007 |
Last Update Date | 01/09/2025 |
Medicare PECOS PAC ID | 0749361152 |
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Medicare Enrollment ID | O20080111000118 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457531881 | NPI | - | NPPES |
1016284 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | 0700011300 (Louisiana) | Secondary |
Provider Name | Adrienne L Breaux |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518008341 PECOS PAC ID: 0749377208 Enrollment ID: I20071030000596 |
Lake Charles Medical Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-582-7632 Fax: 337-582-7656 | |
Family Medical Center. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-478-2650 Fax: 337-478-8183 | |
Headache And Wellness Center Of Southwest Louisiana, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 803 W Bayou Pines Dr Ste B, Lake Charles, LA 70601 Phone: 337-508-2333 | |
Imperial Health, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-312-6708 | |
Kndl Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4200 Nelson Rd, Lake Charles, LA 70605 Phone: 337-475-4748 Fax: 337-944-4421 |