| Lafayette Internal Medicine Clinic Llc | |
|
206 Energy Parkway Lafayette LA 70508 | |
| (337) 504-3335 | |
| (337) 504-4795 |
| Full Name | Lafayette Internal Medicine Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 206 Energy Parkway, Lafayette, Louisiana |
| Authorized Official Name and Position | Gregory S. Riggs (OWNER/MANAGING PARTNER) |
| Authorized Official Contact | 3375043335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafayette Internal Medicine Clinic Llc 206 Energy Parkway Lafayette LA 70508 Ph: (337) 504-3335 | Lafayette Internal Medicine Clinic Llc 206 Energy Parkway Lafayette LA 70508 Ph: (337) 504-3335 |
| NPI Number | 1386951622 |
|---|---|
| Provider Enumeration Date | 09/08/2010 |
| Last Update Date | 03/21/2024 |
| Medicare PECOS PAC ID | 3476740515 |
|---|---|
| Medicare Enrollment ID | O20101215000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386951622 | NPI | - | NPPES |
| 2155067 | Medicaid | LA | |
| 2143697 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bradley Dowden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164432415 PECOS PAC ID: 1254336183 Enrollment ID: I20070830000857 |
| Provider Name | Heather A Daigle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427282284 PECOS PAC ID: 9032263785 Enrollment ID: I20090815000055 |
| Provider Name | Gregory S Riggs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962667675 PECOS PAC ID: 8820267727 Enrollment ID: I20110810000539 |
| Provider Name | Britni Hebert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215198452 PECOS PAC ID: 8527239987 Enrollment ID: I20140919000178 |
| Provider Name | Melanie Mier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689964538 PECOS PAC ID: 0143538413 Enrollment ID: I20151006002821 |
| Provider Name | Katie Ann Dennis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720474273 PECOS PAC ID: 7618274242 Enrollment ID: I20180717002196 |
| Provider Name | Jessica L Petry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083000384 PECOS PAC ID: 1456657758 Enrollment ID: I20180731000589 |
| Provider Name | Aaron J Ackley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699209015 PECOS PAC ID: 3274804612 Enrollment ID: I20200618001454 |
| Provider Name | Hollie C Touchet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598305260 PECOS PAC ID: 4486043692 Enrollment ID: I20211109002738 |
| Provider Name | Victoria L Bolgiano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649730623 PECOS PAC ID: 8224368550 Enrollment ID: I20220830003716 |
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