| Heinen Senior Care | |
|
151 Leon Ave Eunice LA 70535-3937 | |
| (337) 457-8166 | |
| Not Available |
| Full Name | Heinen Senior Care |
|---|---|
| Speciality | Family Medicine |
| Location | 151 Leon Ave, Eunice, Louisiana |
| Authorized Official Name and Position | Brian Heinen (MEDICAL DOCTOR) |
| Authorized Official Contact | 3374576017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heinen Senior Care 151 Leon Ave Eunice LA 70535-3937 Ph: () - | Heinen Senior Care 151 Leon Ave Eunice LA 70535-3937 Ph: (337) 457-8166 |
| NPI Number | 1457886210 |
|---|---|
| Provider Enumeration Date | 04/28/2017 |
| Last Update Date | 04/28/2017 |
| Medicare PECOS PAC ID | 7416221197 |
|---|---|
| Medicare Enrollment ID | O20170919001866 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457886210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 011464 (Louisiana) | Primary |
| Provider Name | Brian N Heinen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457362899 PECOS PAC ID: 9638249246 Enrollment ID: I20080609000090 |
| Provider Name | Jessica Chaumont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982095824 PECOS PAC ID: 1456679612 Enrollment ID: I20150420000592 |
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