St. James Primary Care, Apmc | |
827 N Pine St Gramercy LA 70052-3659 | |
(225) 869-9200 | |
Not Available |
Full Name | St. James Primary Care, Apmc |
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Speciality | General Practice |
Location | 827 N Pine St, Gramercy, Louisiana |
Authorized Official Name and Position | Anu Prasad Vellanki (DOCTOR) |
Authorized Official Contact | 2258699200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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St. James Primary Care, Apmc Po Box 419 Gramercy LA 70052-0419 Ph: (225) 869-9200 | St. James Primary Care, Apmc 827 N Pine St Gramercy LA 70052-3659 Ph: (225) 869-9200 |
NPI Number | 1346429453 |
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Provider Enumeration Date | 10/25/2007 |
Last Update Date | 06/29/2011 |
Medicare PECOS PAC ID | 0941270961 |
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Medicare Enrollment ID | O20040728000368 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346429453 | NPI | - | NPPES |
057843586A | Other | LA | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 1444111 (Louisiana) | Primary |
Provider Name | Anu P Vellanki |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497746499 PECOS PAC ID: 5991775918 Enrollment ID: I20040728000403 |
Provider Name | Toni Roussel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720012859 PECOS PAC ID: 8325072242 Enrollment ID: I20050921000037 |
Provider Name | Aparna Vellanki |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215928213 PECOS PAC ID: 2264449016 Enrollment ID: I20110713000153 |
Provider Name | Nicole D Green |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104105352 PECOS PAC ID: 3173794013 Enrollment ID: I20110926000179 |
Provider Name | Chad M Madere |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124466958 PECOS PAC ID: 1052545662 Enrollment ID: I20131015001588 |
Provider Name | Stephanie B Worth |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801203112 PECOS PAC ID: 9638391675 Enrollment ID: I20141107000153 |
Provider Name | Trejon A Brignac |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891285516 PECOS PAC ID: 0143575415 Enrollment ID: I20180611001421 |
Provider Name | Katie Hymel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437710522 PECOS PAC ID: 9436480670 Enrollment ID: I20191018002093 |
Provider Name | Holly M Millet |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124658745 PECOS PAC ID: 0143650044 Enrollment ID: I20200416002070 |
St. James Primary Care (apmc) Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 827 Pine St, Gramercy, LA 70052 Phone: 225-869-9200 Fax: 225-869-9241 | |
Teche Action Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 827 N Pine St, Gramercy, LA 70052 Phone: 337-828-2550 Fax: 337-355-2333 | |
Brignac Physical Therapy, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1732 Deroche Circle, Suite B, Gramercy, LA 70052 Phone: 225-869-0389 Fax: 225-869-0271 |