Lady Of The Sea Medical Clinic - Cut Off | |
144 W 134th Pl Cut Off LA 70345-4128 | |
(985) 632-6233 | |
(985) 632-7526 |
Full Name | Lady Of The Sea Medical Clinic - Cut Off |
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Speciality | Clinic/Center |
Location | 144 W 134th Pl, Cut Off, Louisiana |
Authorized Official Name and Position | Tad A Lafont (CHIEF CLINIC OFFICER) |
Authorized Official Contact | 9856326401 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lady Of The Sea Medical Clinic - Cut Off 144 W 134th Pl Cut Off LA 70345-4128 Ph: (985) 632-6233 | Lady Of The Sea Medical Clinic - Cut Off 144 W 134th Pl Cut Off LA 70345-4128 Ph: (985) 632-6233 |
NPI Number | 1902846603 |
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Provider Enumeration Date | 06/08/2006 |
Last Update Date | 01/11/2022 |
Medicare PECOS PAC ID | 2264342229 |
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Medicare Enrollment ID | O20040330001560 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902846603 | NPI | - | NPPES |
193451 | Other | LA | MEDICARE PART A |
5CJ01 | Other | LA | MEDICARE PART B |
1442861 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Clayton J Bossier |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730128166 PECOS PAC ID: 1254241219 Enrollment ID: I20040331001281 |
Provider Name | Jay Jared Vega |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457395659 PECOS PAC ID: 4789659962 Enrollment ID: I20040831001103 |
Provider Name | Camille C Pitre |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073568341 PECOS PAC ID: 7113996075 Enrollment ID: I20040928000293 |
Provider Name | Gene F Bergeron |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285631937 PECOS PAC ID: 4486611837 Enrollment ID: I20041216000884 |
Provider Name | Stacey B Molinere |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992743892 PECOS PAC ID: 1658455324 Enrollment ID: I20080220000332 |
Provider Name | Frederick J Rau |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1518019314 PECOS PAC ID: 2668538828 Enrollment ID: I20100803000073 |
Provider Name | Eric H Rau |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1972655744 PECOS PAC ID: 0547393019 Enrollment ID: I20100804000519 |
Provider Name | Donald P Schwab |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1710039532 PECOS PAC ID: 6608991492 Enrollment ID: I20100916001119 |
Provider Name | Elizabeth A Angelette |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235177411 PECOS PAC ID: 9638113574 Enrollment ID: I20101215000446 |
Provider Name | Mia B Savoie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700243623 PECOS PAC ID: 8921392895 Enrollment ID: I20160816001263 |
Provider Name | Rachelle R Guidry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679028260 PECOS PAC ID: 5496022766 Enrollment ID: I20170517002323 |
Provider Name | Elisa I Walls |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558807917 PECOS PAC ID: 2163798612 Enrollment ID: I20171027000804 |
Provider Name | Lauren Lacoste Pitre |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952729840 PECOS PAC ID: 5890088868 Enrollment ID: I20171130001656 |
Provider Name | Tommie J Landry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013573583 PECOS PAC ID: 9638404254 Enrollment ID: I20190718000273 |
Provider Name | Shonathan Edward Merricks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376057166 PECOS PAC ID: 7911330204 Enrollment ID: I20191219000449 |
Dr. Gary Birdsall Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 W 112th St, Cut Off, LA 70345 Phone: 985-632-5222 Fax: 985-632-4222 | |
Ochsner Health Center - Galliano Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 W 112th St, Cut Off, LA 70345 Phone: 985-632-1070 | |
Eddie Smith Md A Prof Med Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 Picciola Pkwy, Cut Off, LA 70345 Phone: 985-325-6226 | |
Lady Of The Sea After Hours Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 186 W 134th St, Cut Off, LA 70345 Phone: 985-325-9700 Fax: 985-325-9701 |