| Duson Family Healthcare | |
|
110 W. First St Suite A Duson LA 70529 | |
| (337) 873-8244 | |
| (337) 873-8274 |
| Full Name | Duson Family Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 W. First St, Duson, Louisiana |
| Authorized Official Name and Position | Tiffany Smith Roy (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 3378738244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Duson Family Healthcare Po Box 370 Duson LA 70529-0370 Ph: (337) 873-8244 | Duson Family Healthcare 110 W. First St Suite A Duson LA 70529 Ph: (337) 873-8244 |
| NPI Number | 1699930719 |
|---|---|
| Provider Enumeration Date | 07/29/2008 |
| Last Update Date | 07/25/2022 |
| Medicare PECOS PAC ID | 9739256512 |
|---|---|
| Medicare Enrollment ID | O20080919000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699930719 | NPI | - | NPPES |
| 5DF41 | Other | LA | MEDICARE |
| 1592919 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 04568 (Louisiana) | Primary |
| Provider Name | Tiffany S Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568645430 PECOS PAC ID: 0648347401 Enrollment ID: I20080919000154 |
| Provider Name | Danielle Nicole Guidry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588057483 PECOS PAC ID: 5496068033 Enrollment ID: I20150724011950 |
| Provider Name | Kayla A Bergeaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063076024 PECOS PAC ID: 6709115181 Enrollment ID: I20190910002821 |
| Provider Name | Christen L Boudreaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316673213 PECOS PAC ID: 0042693301 Enrollment ID: I20220818002613 |
Duson Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 W. First St, Suite A, Duson, LA 70529 Phone: 337-873-8244 Fax: 337-873-8274 |