Island Medical - Medicare Primary Care in Sicily Island, LA

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Island Medical is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Sicily Island, Louisiana. The current practice location for Island Medical is 307 Chisum Street, Sicily Island, Louisiana. For appointments, you can reach them via phone at (318) 389-5727. The mailing address for Island Medical is Po Box 8, 307 Chisum Street, Sicily Island, Louisiana and phone number is (318) 389-5727.

Island Medical is licensed to practice in Louisiana (license number ). The clinic also participates in the medicare program and its NPI number is 1770622631. 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 (318) 389-5727.

Contact Information

Island Medical
307 Chisum Street
Sicily Island
LA 71368-0008
(318) 389-5727
(318) 389-4028

Map and Direction


Primary Care Clinic Profile

Full NameIsland Medical
SpecialityClinic/Center
Location307 Chisum Street, Sicily Island, Louisiana
Authorized Official Name and PositionDebra K Miesch (CEO)
Authorized Official Contact3183895727
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Island Medical
Po Box 8
307 Chisum Street
Sicily Island
LA 71368-0008

Ph: (318) 389-5727		Island Medical
307 Chisum Street
Sicily Island
LA 71368-0008

Ph: (318) 389-5727

NPI Details:

NPI Number1770622631
Provider Enumeration Date02/06/2007
Last Update Date04/26/2023

Medicare PECOS Information:

Medicare PECOS PAC ID8729067434
Medicare Enrollment IDO20040716000202

Medical Identifiers

Medical identifiers for Island Medical such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770622631NPI-NPPES
1940801MedicaidLA
10464OtherLABLUE CROSS LA
1903191MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (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. Island Medical acts as a billing entity for following providers:
Provider NameSusan A Howard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578562500
PECOS PAC ID: 3779515226
Enrollment ID: I20050906000312
Provider NameLisa D. Cazalot
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649341082
PECOS PAC ID: 4486756681
Enrollment ID: I20070219000308
Provider NameRoger A Smith
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023045671
PECOS PAC ID: 3971400565
Enrollment ID: I20070414000106
Provider NameLalisa P Wade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710161385
PECOS PAC ID: 5294819439
Enrollment ID: I20080226000642
Provider NameDebra Barker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316272057
PECOS PAC ID: 8729127295
Enrollment ID: I20091124000075
Provider NameCynthia M Gray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104140987
PECOS PAC ID: 2567359698
Enrollment ID: I20100301000817
Provider NameAshley B Olivier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255649570
PECOS PAC ID: 6901083864
Enrollment ID: I20110602000500
Provider NameRuby Iva Ward
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750335782
PECOS PAC ID: 3072525450
Enrollment ID: I20111010000091
Provider NameBrenda Lee Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508294505
PECOS PAC ID: 0042448276
Enrollment ID: I20151209002333
Provider NameHuey H Moak
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992776835
PECOS PAC ID: 9830223288
Enrollment ID: I20160406000309
Provider NameJacob Victor Crawford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962987586
PECOS PAC ID: 3870847437
Enrollment ID: I20181116002274
Provider NameTonette Harris-haynes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205343803
PECOS PAC ID: 9739448127
Enrollment ID: I20181212001488
Provider NameErica F Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134659881
PECOS PAC ID: 7911248141
Enrollment ID: I20190416001127
Provider NameJessica Beard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386129757
PECOS PAC ID: 2365796679
Enrollment ID: I20190823001089
Provider NameSummer Leigh Greer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134705189
PECOS PAC ID: 7517366420
Enrollment ID: I20210526001629
Provider NameLeigh Ann Chafton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497324818
PECOS PAC ID: 8820493356
Enrollment ID: I20210823000866
Provider NameJudith Wangari Gichia-waldrop
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396363420
PECOS PAC ID: 9739509811
Enrollment ID: I20211005001125
Provider NameSamantha Elizabeth Strange
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124727102
PECOS PAC ID: 1951758127
Enrollment ID: I20231109000537
Provider NameCarolyn Cardin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023797347
PECOS PAC ID: 4587000492
Enrollment ID: I20240314001092

Reviews and Comments


Clinic/Center in Sicily Island, LA

Catahoula Parish Hospital District No 2
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 710 Chisum Street, Sicily Island, LA 71368
Phone: 318-389-5727    Fax: 318-389-9943
Medical Center Family Dentistry
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 307 Chisum St, Sicily Island, LA 71368
Phone: 318-389-9941    Fax: 318-389-4028
Harrisonburg Family Health
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 307 Chisum St, Sicily Island, LA 71368
Phone: 318-389-5727    Fax: 318-389-4028

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.