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

is a medicare enrolled primary clinic (Clinic/center) in Bastrop, Louisiana. The current practice location for is 540 Durham Street, Bastrop, Louisiana. For appointments, you can reach them via phone at (318) 283-2200. The mailing address for is 540 Durham St, Bastrop, Louisiana and phone number is (318) 283-2200.

is licensed to practice in Louisiana (license number 10850R). The clinic also participates in the medicare program and its NPI number is 1487821708. 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) 283-2200.

Contact Information


	540 Durham Street Bastrop LA 71220
	(318) 283-2200
	(318) 283-1200

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	540 Durham Street, Bastrop, Louisiana
Authorized Official Name and Position	M. Tahir Qayyum (OWNER)
Authorized Official Contact	3182832200
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
540 Durham St Bastrop LA 71220-5013 Ph: (318) 283-2200	540 Durham Street Bastrop LA 71220 Ph: (318) 283-2200

NPI Details:

NPI Number	1487821708
Provider Enumeration Date	05/15/2008
Last Update Date	10/22/2010

Medicare PECOS Information:

Medicare PECOS PAC ID	1153381827
Medicare Enrollment ID	O20101021001033

Medical Identifiers

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

Identifier	Type	State	Issuer
1487821708	NPI	-	NPPES
1447111	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	10850R (Louisiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Tahir Qayyum
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1083714117 PECOS PAC ID: 1557274834 Enrollment ID: I20101026000919

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: 518-520 Durham Street, Bastrop, LA 71220 Phone: 318-283-8887
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