| New Roads Family Practice Llc | |
|
213 W Main St New Roads LA 70760-3511 | |
| (225) 242-9162 | |
| Not Available |
| Full Name | New Roads Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 213 W Main St, New Roads, Louisiana |
| Authorized Official Name and Position | Elizabeth Berrigan Causey (OWNER/ MANAGER/ MEMBER) |
| Authorized Official Contact | 5126507312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Roads Family Practice Llc 213 W Main St New Roads LA 70760-3511 Ph: () - | New Roads Family Practice Llc 213 W Main St New Roads LA 70760-3511 Ph: (225) 242-9162 |
| NPI Number | 1366204182 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/26/2024 |
| Medicare PECOS PAC ID | 0143662825 |
|---|---|
| Medicare Enrollment ID | O20240527000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366204182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Elizabeth Carol Berrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265022917 PECOS PAC ID: 1759790967 Enrollment ID: I20210429000356 |
| Provider Name | Angela D Kennerly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275249088 PECOS PAC ID: 8527424001 Enrollment ID: I20230525003279 |
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