Stellar Internal Medicine Llc is a medicare enrolled primary clinic (Internal Medicine) in Bush, Louisiana. The current practice location for Stellar Internal Medicine Llc is 82282 Highway 1082, Bush, Louisiana. For appointments, you can reach them via phone at
(985) 789-4302. The mailing address for Stellar Internal Medicine Llc is 82282 Highway 1082, Bush, Louisiana and phone number is (985) 789-4302.
Stellar Internal Medicine Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1659008225. 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
(985) 789-4302.
Primary Care Clinic Profile
| Full Name | Stellar Internal Medicine Llc |
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| Speciality | Internal Medicine |
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| Location | 82282 Highway 1082, Bush, Louisiana |
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| Authorized Official Name and Position | Jessica Gonzalez (MEMBER) |
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| Authorized Official Contact | 9857894302 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Stellar Internal Medicine Llc
82282 Highway 1082
Bush
LA 70431-2564
Ph: (985) 789-4302 | Stellar Internal Medicine Llc
82282 Highway 1082
Bush
LA 70431-2564
Ph: (985) 789-4302 |
NPI Details:
| NPI Number | 1659008225 |
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| Provider Enumeration Date | 08/04/2022 |
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| Last Update Date | 09/14/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4880063932 |
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| Medicare Enrollment ID | O20221212001417 |
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Medical Identifiers
Medical identifiers for Stellar Internal Medicine Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659008225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Stellar Internal Medicine Llc acts as a billing entity for following providers:
| Provider Name | Jessica Gonzalez |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1053609560
PECOS PAC ID: 6709057151
Enrollment ID: I20110915000754 |
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