| Family Medicine Physicians | |
|
16052 Doctor's Boulevard Hammond LA 70403 | |
| (985) 386-6584 | |
| Not Available |
| Full Name | Family Medicine Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 16052 Doctor's Boulevard, Hammond, Louisiana |
| Authorized Official Name and Position | Smitty Smith (PARTNER) |
| Authorized Official Contact | 9853459606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Physicians Po Box 280 Ponchatoula LA 70454-0280 Ph: (985) 345-9606 | Family Medicine Physicians 16052 Doctor's Boulevard Hammond LA 70403 Ph: (985) 386-6584 |
| NPI Number | 1962428953 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 11/04/2021 |
| Medicare PECOS PAC ID | 8729081278 |
|---|---|
| Medicare Enrollment ID | O20060823000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962428953 | NPI | - | NPPES |
| 1949531 | Medicaid | LA | |
| DA4862 | Other | LA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Claude W Gilbreath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356324594 PECOS PAC ID: 2567441462 Enrollment ID: I20040715000065 |
| Provider Name | John A Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477536324 PECOS PAC ID: 1456354257 Enrollment ID: I20060817000077 |
| Provider Name | Smitty Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700185519 PECOS PAC ID: 2264678853 Enrollment ID: I20130427000037 |
| Provider Name | Maggie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134584295 PECOS PAC ID: 1951609577 Enrollment ID: I20160415000546 |
| Provider Name | Brittany F Hattier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336587138 PECOS PAC ID: 3274803655 Enrollment ID: I20170718000304 |
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