Physician Management Services Of Louisiana, Llc | |
117 Ellington Dr Rayville LA 71269-3632 | |
(888) 829-8550 | |
Not Available |
Full Name | Physician Management Services Of Louisiana, Llc |
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Speciality | Family Medicine |
Location | 117 Ellington Dr, Rayville, Louisiana |
Authorized Official Name and Position | Brett Kenefick (PRESIDENT) |
Authorized Official Contact | 8888298550 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Physician Management Services Of Louisiana, Llc 3113 Lawton Rd Ste 250 Orlando FL 32803-3517 Ph: (888) 829-8550 | Physician Management Services Of Louisiana, Llc 117 Ellington Dr Rayville LA 71269-3632 Ph: (888) 829-8550 |
NPI Number | 1942832019 |
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Provider Enumeration Date | 02/06/2020 |
Last Update Date | 08/28/2024 |
Medicare PECOS PAC ID | 3476976374 |
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Medicare Enrollment ID | O20200710002042 |
Identifier | Type | State | Issuer |
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1942832019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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