| Hamilton Medical Group, Apc | |
|
4809 Ambassador Caffery Pkwy Suite 200 Lafayette LA 70508-8800 | |
| (337) 988-8801 | |
| (337) 988-8805 |
| Full Name | Hamilton Medical Group, Apc |
|---|---|
| Speciality | Family Medicine |
| Location | 4809 Ambassador Caffery Pkwy, Lafayette, Louisiana |
| Authorized Official Name and Position | Francine A Manuel (CHAIR, BOARD OF DIRECTORS) |
| Authorized Official Contact | 3379888801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamilton Medical Group, Apc 4809 Ambassador Caffery Pkwy Suite 200 Lafayette LA 70508-8800 Ph: (337) 988-8801 | Hamilton Medical Group, Apc 4809 Ambassador Caffery Pkwy Suite 200 Lafayette LA 70508-8800 Ph: (337) 988-8801 |
| NPI Number | 1124026919 |
|---|---|
| Provider Enumeration Date | 07/14/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5698768455 |
|---|---|
| Medicare Enrollment ID | O20040407000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124026919 | NPI | - | NPPES |
| 1113328 | Medicaid | LA | |
| C50403 | Other | LA | PALMETTO GBA - RAILROAD M |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Louisiana) | Primary |
| Provider Name | Francine Manuel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073510897 PECOS PAC ID: 8022001882 Enrollment ID: I20100213000109 |
| Provider Name | George Sobiesk |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659378453 PECOS PAC ID: 5092804914 Enrollment ID: I20100315000112 |
| Provider Name | Harold J Granger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396743936 PECOS PAC ID: 4183713001 Enrollment ID: I20100323000883 |
| Provider Name | Nathan Landry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427056985 PECOS PAC ID: 8729177647 Enrollment ID: I20100326000726 |
| Provider Name | Anthony Collins Thibodeaux |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336147081 PECOS PAC ID: 3274622196 Enrollment ID: I20100605000003 |
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