- Medicare Primary Care in Leesville, LA

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is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Leesville, Louisiana. The current practice location for is 1100 Nolan Trace, Leesville, Louisiana. For appointments, you can reach them via phone at (337) 238-5180. The mailing address for is 1100 Nolan Trace, Leesville, Louisiana and phone number is (337) 238-5180.

is licensed to practice in Louisiana (license number ). The clinic also participates in the medicare program and its NPI number is 1649524257. 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) 238-5180.

Contact Information

1100 Nolan Trace
Leesville
LA 71446
(337) 238-5180
(337) 238-4840

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location1100 Nolan Trace, Leesville, Louisiana
Authorized Official Name and PositionVictor Vance Carlock (PROVIDER / OWNER)
Authorized Official Contact3372385180
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1100 Nolan Trace
Leesville
LA 71446

Ph: (337) 238-5180
1100 Nolan Trace
Leesville
LA 71446

Ph: (337) 238-5180

NPI Details:

NPI Number1649524257
Provider Enumeration Date11/05/2012
Last Update Date04/16/2018

Medicare PECOS Information:

Medicare PECOS PAC ID3476707514
Medicare Enrollment IDO20130125000277

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649524257NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (Louisiana)Primary
363L00000XNurse Practitioner (Louisiana)Secondary
363LF0000XNurse Practitioner - Family (Louisiana)Secondary
363LP2300XNurse Practitioner - Primary Care (Louisiana)Secondary

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 NameJennifer B Carlock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164616553
PECOS PAC ID: 5890883938
Enrollment ID: I20071126000709
Provider NameVictor Carlock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396948402
PECOS PAC ID: 9335237478
Enrollment ID: I20110829000086
Provider NameRobert K. Lamme
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548422181
PECOS PAC ID: 6406038025
Enrollment ID: I20120724000200
Provider NameRobyn Briscoe Dowdle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871046128
PECOS PAC ID: 8022395003
Enrollment ID: I20170428001181
Provider NameAndrea Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831962901
PECOS PAC ID: 4284074592
Enrollment ID: I20240503001995

Reviews and Comments


Clinic/Center in Leesville, LA

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Phone: 337-365-4945    
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Phone: 337-239-2600    Fax: 337-239-2601
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.