Louisiana Medicine And Geratrics Associates | |
1503 Stubbs Ave Monroe LA 71201-5627 | |
(318) 388-0440 | |
(318) 388-0330 |
Full Name | Louisiana Medicine And Geratrics Associates |
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Speciality | Internal Medicine |
Location | 1503 Stubbs Ave, Monroe, Louisiana |
Authorized Official Name and Position | Sunil Prem (PRESIDENT) |
Authorized Official Contact | 3183880440 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Louisiana Medicine And Geratrics Associates 1503 Stubbs Ave Monroe LA 71201-5627 Ph: (318) 388-0440 | Louisiana Medicine And Geratrics Associates 1503 Stubbs Ave Monroe LA 71201-5627 Ph: (318) 388-0440 |
NPI Number | 1861518185 |
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Provider Enumeration Date | 03/21/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7618255456 |
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Medicare Enrollment ID | O20161028000619 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861518185 | NPI | - | NPPES |
1542555 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | L12718R (Louisiana) | Primary |
Provider Name | Sunil Prem |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417038746 PECOS PAC ID: 6406766773 Enrollment ID: I20040819001232 |
Affinity Central Lab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Oliver Rd, Suite C, Monroe, LA 71201 Phone: 318-812-7050 Fax: 318-812-7053 | |
Integrated Health Services Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Tower Dr, Monroe, LA 71201 Phone: 318-410-1044 | |
South Ouachita Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4310 S Grand St Ste 1, Monroe, LA 71202 Phone: 318-746-0420 Fax: 318-752-1940 | |
Phsc Desiard Street Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2913 Desiard St, Monroe, LA 71201 Phone: 318-651-9914 Fax: 318-410-0688 | |
David L. Barnes, Md, Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Medical Park Dr, Suite C, Monroe, LA 71203 Phone: 318-325-6078 Fax: 318-324-9694 | |
J Dean Stockstill Md, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3510 Magnolia Cv, Suite 190, Monroe, LA 71203 Phone: 318-323-7576 Fax: 318-322-7131 | |
Affinity Health Group Ulm Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 University Ave, Monroe, LA 71209 Phone: 318-342-1651 Fax: 318-342-3280 |