| Charles J Aswell Iii Md A Prof Medical Corp | |
|
503 Jack Miller Road Ste A Ville Platte LA 70586 | |
| (337) 363-7474 | |
| (337) 363-1197 |
| Full Name | Charles J Aswell Iii Md A Prof Medical Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 503 Jack Miller Road, Ville Platte, Louisiana |
| Authorized Official Name and Position | Charles Jesse Aswell (OWNER) |
| Authorized Official Contact | 3373637474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles J Aswell Iii Md A Prof Medical Corp 503 Jack Miller Road Ste A Ville Platte LA 70586 Ph: (337) 363-7474 | Charles J Aswell Iii Md A Prof Medical Corp 503 Jack Miller Road Ste A Ville Platte LA 70586 Ph: (337) 363-7474 |
| NPI Number | 1104939099 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 12/07/2010 |
| Medicare PECOS PAC ID | 5698789386 |
|---|---|
| Medicare Enrollment ID | O20101101000264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104939099 | NPI | - | NPPES |
| 1104939099 | Other | LA | ORGANIZATION NPI |
| 1801842141 | Other | INDIVIDUAL NPI | |
| 1188531 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles J Aswell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801842141 PECOS PAC ID: 6305883992 Enrollment ID: I20050414000968 |
| Provider Name | Nikita A Catoire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568998631 PECOS PAC ID: 9537421235 Enrollment ID: I20180316000649 |
Evangeline Family Medicine Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 505 E Lincoln Rd, Ville Platte, LA 70586 Phone: 337-942-3390 Fax: 337-942-8644 | |
Aswell Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 Jack Miller Rd, Suite A, Ville Platte, LA 70586 Phone: 337-363-7474 | |
Heinen Medical Vp Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1535 W Main St Ste 6, Ville Platte, LA 70586 Phone: 337-363-5521 Fax: 337-363-9134 | |
Henry J. Dupre, M.d. Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 W Main St, Ville Platte, LA 70586 Phone: 337-363-5531 Fax: 337-363-5250 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Court St Ste 200, Ville Platte, LA 70586 Phone: 833-784-2669 Fax: 844-784-2329 | |
Thomas G. Fontenot, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 East Lincoln Road, Ville Platte, LA 70586 Phone: 337-363-7744 |