- Medicare Primary Care in Lafayette, LA

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is a medicare enrolled primary clinic (Family Medicine) in Lafayette, Louisiana. The current practice location for is 901 Hugh Wallis Rd S Rm 115, Lafayette, Louisiana. For appointments, you can reach them via phone at (337) 233-1307. The mailing address for is Po Box 51266, Lafayette, Louisiana and phone number is (337) 233-1307.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083293096. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (337) 233-1307.

Contact Information

901 Hugh Wallis Rd S Rm 115
Lafayette
LA 70508-2511
(337) 233-1307
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityFamily Medicine
Location901 Hugh Wallis Rd S Rm 115, Lafayette, Louisiana
Authorized Official Name and PositionJoshua L. Proffitt (PRESIDENT)
Authorized Official Contact3372331307
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 51266
Lafayette
LA 70505-1266

Ph: (337) 233-1307
901 Hugh Wallis Rd S Rm 115
Lafayette
LA 70508-2511

Ph: (337) 233-1307

NPI Details:

NPI Number1083293096
Provider Enumeration Date04/06/2021
Last Update Date06/24/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5991109969
Medicare Enrollment IDO20210812002987

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083293096NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameKyle G Lavergne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982886511
PECOS PAC ID: 1658449194
Enrollment ID: I20081010000060
Provider NameRobin E Beacom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649697558
PECOS PAC ID: 0143443465
Enrollment ID: I20140514000253
Provider NameElliot J Myers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528481587
PECOS PAC ID: 8527281237
Enrollment ID: I20140528000951
Provider NameAimee Guilbeau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205403102
PECOS PAC ID: 6608279138
Enrollment ID: I20210721003635
Provider NameAlexis Taquino Harrington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346998507
PECOS PAC ID: 3779970264
Enrollment ID: I20220502001942
Provider NameBreanne Roesch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669108080
PECOS PAC ID: 9638546625
Enrollment ID: I20221103002474
Provider NameShelly Marie Spaulding
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801510235
PECOS PAC ID: 3476927070
Enrollment ID: I20230322001707
Provider NameChanda Danielle Babineaux
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831960475
PECOS PAC ID: 7214371632
Enrollment ID: I20240213004908

Reviews and Comments


Family Medicine in Lafayette, LA

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Practice Location: 4630 Ambassador Caffery Pkwy, Ste 412, Lafayette, LA 70508
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Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508
Phone: 337-470-2147    Fax: 337-470-4204
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Medicare: Not Enrolled in Medicare
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Phone: 337-504-3335    Fax: 337-504-4735

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.