| Iberia Gastroenterology Associates, Inc. A Professional Medical Corpor | |
|
2309 E Main St Ste 101 New Iberia LA 70560-4063 | |
| (337) 364-3301 | |
| (337) 364-9689 |
| Full Name | Iberia Gastroenterology Associates, Inc. A Professional Medical Corpor |
|---|---|
| Speciality | Internal Medicine |
| Location | 2309 E Main St Ste 101, New Iberia, Louisiana |
| Authorized Official Name and Position | Son V. Nguyen (CEO) |
| Authorized Official Contact | 3373643301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iberia Gastroenterology Associates, Inc. A Professional Medical Corpor 2309 E Main St Ste 101 New Iberia LA 70560-4063 Ph: (337) 364-3301 | Iberia Gastroenterology Associates, Inc. A Professional Medical Corpor 2309 E Main St Ste 101 New Iberia LA 70560-4063 Ph: (337) 364-3301 |
| NPI Number | 1962526509 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 07/11/2019 |
| Medicare PECOS PAC ID | 0648238014 |
|---|---|
| Medicare Enrollment ID | O20100106000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962526509 | NPI | - | NPPES |
| 1949566 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Son V Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881874899 PECOS PAC ID: 4880749985 Enrollment ID: I20090825000531 |
| Provider Name | Renee Sons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548783400 PECOS PAC ID: 1052656576 Enrollment ID: I20190102001708 |
| Provider Name | Kristen Williams Lasseigne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912468083 PECOS PAC ID: 1759624067 Enrollment ID: I20190529002296 |
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