| Our Lady Of The Lake Physician Group Llc | |
|
310 Durel Dr New Roads LA 70760-2973 | |
| (225) 713-2400 | |
| (225) 713-2405 |
| Full Name | Our Lady Of The Lake Physician Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 310 Durel Dr, New Roads, Louisiana |
| Authorized Official Name and Position | Jamy Richard (VP FINANCE) |
| Authorized Official Contact | 2254908801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Lady Of The Lake Physician Group Llc 5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 Ph: (225) 526-0006 | Our Lady Of The Lake Physician Group Llc 310 Durel Dr New Roads LA 70760-2973 Ph: (225) 713-2400 |
| NPI Number | 1447399308 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 07/28/2016 |
| Medicare PECOS PAC ID | 6002708799 |
|---|---|
| Medicare Enrollment ID | O20040526000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447399308 | NPI | - | NPPES |
| 1447528 | Medicaid | LA |
New Roads Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 Roberts Dr Ste H, New Roads, LA 70760 Phone: 225-638-5879 | |
Our Lady Of The Lake Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Roberts Dr, Suite H, New Roads, LA 70760 Phone: 225-638-7033 Fax: 225-638-7034 | |
Pointe Coupee Parish Schools Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1662 La Hwy. 1, New Roads, LA 70760 Phone: 225-638-8674 | |
Donald W Doucet Md And Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Roberts Dr, Suite I, New Roads, LA 70760 Phone: 225-638-4585 Fax: 225-638-4586 | |
Our Lady Of The Lake Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Roberts Dr, Suite B, New Roads, LA 70760 Phone: 225-638-8661 Fax: 225-638-2977 | |
New Roads Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 W Main St, New Roads, LA 70760 Phone: 225-242-9162 |