| Family Medicine Specialists, Llc | |
|
6322 Highway 182 E Ste 200 Morgan City LA 70380-2038 | |
| (985) 702-1220 | |
| (985) 702-9715 |
| Full Name | Family Medicine Specialists, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6322 Highway 182 E Ste 200, Morgan City, Louisiana |
| Authorized Official Name and Position | Maryellon Allen (MD) |
| Authorized Official Contact | 9857021220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Specialists, Llc 6322 Highway 182 E Morgan City LA 70380-2038 Ph: (985) 702-1220 | Family Medicine Specialists, Llc 6322 Highway 182 E Ste 200 Morgan City LA 70380-2038 Ph: (985) 702-1220 |
| NPI Number | 1962675272 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/15/2021 |
| Medicare PECOS PAC ID | 1951359538 |
|---|---|
| Medicare Enrollment ID | O20050111000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962675272 | NPI | - | NPPES |
| 1464368 | Medicaid | LA | |
| 5405870060 | Other | LA | BLU E CROSS BLUE SHIELD |
| DC6205 | Other | LA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15521R (Louisiana) | Primary |
| Provider Name | Angela Doiron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073511960 PECOS PAC ID: 9436118874 Enrollment ID: I20041011000067 |
| Provider Name | Maryellon Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396745907 PECOS PAC ID: 9638135551 Enrollment ID: I20041202000690 |
| Provider Name | Nicole M Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245829407 PECOS PAC ID: 6800203878 Enrollment ID: I20210319000315 |
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