Iberia Family Care, Apmc | |
222 E Main St Ste B New Iberia LA 70560-3878 | |
(337) 256-8012 | |
(337) 256-8037 |
Full Name | Iberia Family Care, Apmc |
---|---|
Speciality | Clinic/Center |
Location | 222 E Main St Ste B, New Iberia, Louisiana |
Authorized Official Name and Position | Robert F Hankenhof (PHYSICIAN/OWNER) |
Authorized Official Contact | 3372568012 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Iberia Family Care, Apmc 222 E Main St Ste B New Iberia LA 70560-3878 Ph: (337) 256-8012 | Iberia Family Care, Apmc 222 E Main St Ste B New Iberia LA 70560-3878 Ph: (337) 256-8012 |
NPI Number | 1932139193 |
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Provider Enumeration Date | 07/04/2006 |
Last Update Date | 12/04/2019 |
Medicare PECOS PAC ID | 8921142332 |
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Medicare Enrollment ID | O20100224000110 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932139193 | NPI | - | NPPES |
436967201A | Other | LA | BLUE CROSS |
LP0130018 | Other | LA | TRICARE |
0100812 | Other | LA | UNITED HEALTHCARE |
1533441 | Medicaid | LA | |
1739786 | Other | LA | FIRST HEALTH |
5740720 | Other | LA | AETNA |
080185002 | Other | LA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 023102 (Louisiana) | Primary |
Provider Name | Robert F Hankenhof |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558585430 PECOS PAC ID: 9335195866 Enrollment ID: I20100323000166 |
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