Choudrant Primary Care is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Choudrant, Louisiana. The current practice location for Choudrant Primary Care is 3845 Elm St Ste 3, Choudrant, Louisiana. For appointments, you can reach them via phone at
(318) 695-9200. The mailing address for Choudrant Primary Care is 216 Loblolly Ln, Choudrant, Louisiana and phone number is () -.
Choudrant Primary Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1962267922. 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) 695-9200.
Primary Care Clinic Profile
| Full Name | Choudrant Primary Care |
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| Speciality | Clinic/Center |
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| Location | 3845 Elm St Ste 3, Choudrant, Louisiana |
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| Authorized Official Name and Position | Jennifer S. Juneau (OWNER) |
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| Authorized Official Contact | 3186959200 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Choudrant Primary Care
216 Loblolly Ln
Choudrant
LA 71227-4804
Ph: () - | Choudrant Primary Care
3845 Elm St Ste 3
Choudrant
LA 71227-3017
Ph: (318) 695-9200 |
NPI Details:
| NPI Number | 1962267922 |
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| Provider Enumeration Date | 02/19/2024 |
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| Last Update Date | 09/20/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1052757416 |
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| Medicare Enrollment ID | O20240308000368 |
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Medical Identifiers
Medical identifiers for Choudrant Primary Care such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962267922 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Choudrant Primary Care acts as a billing entity for following providers:
| Provider Name | Jennifer S Juneau |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1285981068
PECOS PAC ID: 3072737345
Enrollment ID: I20140609000277 |
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