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501 Durham St Bastrop LA 71220-5012 | |
(318) 283-8887 | |
(318) 281-2559 |
Full Name | |
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Speciality | Clinic/Center |
Location | 501 Durham St, Bastrop, Louisiana |
Authorized Official Name and Position | Elizabeth Spikes (ADMINISTRATIVE SERVICES COORDINATOR) |
Authorized Official Contact | 3185568454 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 792 Bastrop LA 71221-0792 Ph: (318) 239-8015 | 501 Durham St Bastrop LA 71220-5012 Ph: (318) 283-8887 |
NPI Number | 1356898589 |
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Provider Enumeration Date | 09/06/2016 |
Last Update Date | 06/18/2024 |
Medicare PECOS PAC ID | 1254343593 |
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Medicare Enrollment ID | O20171010000024 |
Identifier | Type | State | Issuer |
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1356898589 | NPI | - | NPPES |
2429167 | Medicaid | LA |
Camilla Carter, Md & Carter Cox Jr., Md Apc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 South Vine Street, Bastrop, LA 71220 Phone: 318-281-3521 Fax: 318-281-3537 | |
Robert E Lyon Internal Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Gunby Ave, Bastrop, LA 71220 Phone: 318-281-3432 Fax: 318-281-8850 | |