<unavail> in Lafayette, LA - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Lafayette, Louisiana. The current practice location for is 221 Southpark Rd Ste B, Lafayette, Louisiana. For appointments, you can reach them via phone at (337) 534-0420. The mailing address for is 221 Southpark Rd Ste B, Lafayette, Louisiana and phone number is (337) 534-0420.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1477398956. 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) 534-0420.

Contact Information


	221 Southpark Rd Ste B Lafayette LA 70508-3611
	(337) 534-0420
	(337) 806-9576

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	221 Southpark Rd Ste B, Lafayette, Louisiana
Authorized Official Name and Position	Donna B Wilson (NURSE PRACTITIONER)
Authorized Official Contact	3375340420
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
221 Southpark Rd Ste B Lafayette LA 70508-3611 Ph: (337) 534-0420	221 Southpark Rd Ste B Lafayette LA 70508-3611 Ph: (337) 534-0420

NPI Details:

NPI Number	1477398956
Provider Enumeration Date	06/27/2024
Last Update Date	10/31/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	8527504331
Medicare Enrollment ID	O20240729000535

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477398956	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Secondary
261QX0100X	Clinic/center - Occupational Medicine	(* (Not Available))	Secondary

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 Name	Donna Boudreaux Wilson
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1982196432 PECOS PAC ID: 0648524017 Enrollment ID: I20181121002015

Reviews and Comments

Family Medicine in Lafayette, LA

Priority Access Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2912 Johnston St, Lafayette, LA 70503 Phone: 337-446-0555
Telehealth Services Of Georgia, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Corporate Blvd, Lafayette, LA 70508 Phone: 800-893-9698
Ochsner Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 Coolidge Blvd Ste 401, Lafayette, LA 70503 Phone: 337-769-8960 Fax: 337-769-8961
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4414 Johnston Street, Suite D, Lafayette, LA 70503 Phone: 337-989-4327 Fax: 337-989-4609
Stiel Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4630 Ambassador Caffery Pkwy, Ste 412, Lafayette, LA 70508 Phone: 337-993-3933
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-2147 Fax: 337-470-4204
Katie Dennis, M.d. A.p.m.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4809 Ambassador Caffery Pkwy Ste 410, Lafayette, LA 70508 Phone: 337-504-3335 Fax: 337-504-4735

- Medicare Primary Care in Lafayette, LA