| Mamou Family Care | |
|
803 Poinciana Ave Mamou LA 70554-2201 | |
| (337) 468-4038 | |
| (337) 468-4042 |
| Full Name | Mamou Family Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 803 Poinciana Ave, Mamou, Louisiana |
| Authorized Official Name and Position | Eugene H Burge (CEO) |
| Authorized Official Contact | 3374680355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mamou Family Care 803 Poinciana Ave, Ste. C Mamou LA 70554-2201 Ph: (337) 468-4038 | Mamou Family Care 803 Poinciana Ave Mamou LA 70554-2201 Ph: (337) 468-4038 |
| NPI Number | 1326349580 |
|---|---|
| Provider Enumeration Date | 11/04/2010 |
| Last Update Date | 09/12/2019 |
| Medicare PECOS PAC ID | 1557403953 |
|---|---|
| Medicare Enrollment ID | O20110223000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326349580 | NPI | - | NPPES |
| 5DS33 | Other | LA | MEDICARE GROUP |
| 198510 | Other | LA | MEDICARE |
| 2489291 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | PENDING (Louisiana) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Francisco Cantu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821034364 PECOS PAC ID: 8729985510 Enrollment ID: I20031218000716 |
| Provider Name | John P Fontenot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801822044 PECOS PAC ID: 7810991957 Enrollment ID: I20060905000182 |
| Provider Name | Jarrod P Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144621392 PECOS PAC ID: 2668780578 Enrollment ID: I20150925002045 |
| Provider Name | Abigail Lacombe Saucier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669992798 PECOS PAC ID: 5193085694 Enrollment ID: I20180131003302 |
| Provider Name | Rachel L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700532744 PECOS PAC ID: 7315334505 Enrollment ID: I20220418000597 |
John Phil Fontenot, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 7th St, Suite K, Mamou, LA 70554 Phone: 337-468-5150 Fax: 337-468-5155 | |
Savoy Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Poinciana Ave, Mamou, LA 70554 Phone: 337-468-5261 Fax: 337-468-3342 | |
Savoy Medical Center-hospital Based Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Poinciana Ave, Mamou, LA 70554 Phone: 337-468-5261 Fax: 337-468-3342 | |
Christopher Cutter Md Inc A Professional Medical Corportation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 Poinciana Ave, Suite C, Mamou, LA 70554 Phone: 337-468-4038 Fax: 337-468-4042 | |
Mamou Ob.gyn. & Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 805 Cherry St, Mamou, LA 70554 Phone: 337-468-2250 Fax: 337-468-2702 |