| Tiger Island Medical Clinic | |
|
1151 Marguerite St Suite 200a Morgan City LA 70380-1850 | |
| (985) 384-7288 | |
| (985) 384-7291 |
| Full Name | Tiger Island Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1151 Marguerite St, Morgan City, Louisiana |
| Authorized Official Name and Position | Eric Joseph Melancon (PRESIDENT) |
| Authorized Official Contact | 9853847288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiger Island Medical Clinic 1151 Marguerite St Suite 200a Morgan City LA 70380-1850 Ph: () - | Tiger Island Medical Clinic 1151 Marguerite St Suite 200a Morgan City LA 70380-1850 Ph: (985) 384-7288 |
| NPI Number | 1215174420 |
|---|---|
| Provider Enumeration Date | 01/09/2009 |
| Last Update Date | 06/12/2023 |
| Medicare PECOS PAC ID | 2163579467 |
|---|---|
| Medicare Enrollment ID | O20090402000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215174420 | NPI | - | NPPES |
| 1215174420 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Eric J Melancon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609955137 PECOS PAC ID: 4082770854 Enrollment ID: I20090303000092 |
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