<unavail> in Bastrop, LA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Bastrop, Louisiana. The current practice location for is 518-520 Durham Street, Bastrop, Louisiana. For appointments, you can reach them via phone at (318) 283-8887. The mailing address for is Po Box 792, Bastrop, Louisiana and phone number is (318) 239-8015.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083802060. 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) 283-8887.

Contact Information


	518-520 Durham Street Bastrop LA 71220-5033
	(318) 283-8887
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	518-520 Durham Street, Bastrop, Louisiana
Authorized Official Name and Position	Katherine Parnell (CEO)
Authorized Official Contact	3182398015
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 792 Bastrop LA 71221-0792 Ph: (318) 239-8015	518-520 Durham Street Bastrop LA 71220-5033 Ph: (318) 283-8887

NPI Details:

NPI Number	1083802060
Provider Enumeration Date	10/04/2007
Last Update Date	03/03/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	1254343593
Medicare Enrollment ID	O20071107000777

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083802060	NPI	-	NPPES
1019798	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD14979R (Louisiana)	Secondary
208000000X	Pediatrics	MD14862R (Louisiana)	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
363LF0000X	Nurse Practitioner - Family	AP 04477 (Louisiana)	Secondary
363LF0000X	Nurse Practitioner - Family	AP 03448 (Louisiana)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN 05320 (Louisiana)	Secondary
363LF0000X	Nurse Practitioner - Family	AP 05342 (Louisiana)	Secondary

Reviews and Comments

Clinic/Center in Bastrop, 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
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 W Madison Ave, Bastrop, LA 71220 Phone: 318-281-8422
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
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 E Pine Street, Bastrop, LA 71220 Phone: 318-283-0868 Fax: 318-283-0875
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 420 Gunby Ave, Bastrop, LA 71220 Phone: 318-283-3920 Fax: 318-239-8920
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 402 Highland Ave, Bastrop, LA 71220 Phone: 318-283-8887 Fax: 318-281-2559

- Medicare Primary Care in Bastrop, LA