Louisiana Independent Physician Association Llc | |
6965 Jefferson Hwy Baton Rouge LA 70806-8110 | |
(225) 923-2285 | |
Not Available |
Full Name | Louisiana Independent Physician Association Llc |
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Speciality | General Practice |
Location | 6965 Jefferson Hwy, Baton Rouge, Louisiana |
Authorized Official Name and Position | Donnie Batie (CEO) |
Authorized Official Contact | 2253416678 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Louisiana Independent Physician Association Llc 6965 Jefferson Hwy Baton Rouge LA 70806-8110 Ph: () - | Louisiana Independent Physician Association Llc 6965 Jefferson Hwy Baton Rouge LA 70806-8110 Ph: (225) 923-2285 |
NPI Number | 1578146304 |
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Provider Enumeration Date | 04/29/2021 |
Last Update Date | 04/29/2021 |
Medicare PECOS PAC ID | 4486889938 |
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Medicare Enrollment ID | O20220827000630 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578146304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Donnie Batie |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083724736 PECOS PAC ID: 1759406903 Enrollment ID: I20100913000341 |
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