| Robert Blereau Md | |
|
1122 Eighth St Morgan City LA 70380-1987 | |
| (985) 385-3000 | |
| (985) 385-3002 |
| Full Name | Robert Blereau Md |
|---|---|
| Speciality | Clinic/Center |
| Location | 1122 Eighth St, Morgan City, Louisiana |
| Authorized Official Name and Position | Juanita Vaughn (OFFICE MANAGER) |
| Authorized Official Contact | 9853853000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Blereau Md 1122 Eighth St Morgan City LA 70380-1987 Ph: (985) 385-3000 | Robert Blereau Md 1122 Eighth St Morgan City LA 70380-1987 Ph: (985) 385-3000 |
| NPI Number | 1942523675 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 03/09/2010 |
| Medicare PECOS PAC ID | 4486788130 |
|---|---|
| Medicare Enrollment ID | O20100817000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942523675 | NPI | - | NPPES |
| 1083828 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 009089 (Louisiana) | Primary |
| Provider Name | Robert P Blereau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396790002 PECOS PAC ID: 1557495207 Enrollment ID: I20100817000369 |
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