Port Barre Family Clinic | |
17695 Highway 190 Port Barre LA 70577-5178 | |
(337) 308-0802 | |
(337) 585-7899 |
Full Name | Port Barre Family Clinic |
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Speciality | Family Medicine |
Location | 17695 Highway 190, Port Barre, Louisiana |
Authorized Official Name and Position | Eliza Tate (OWNER) |
Authorized Official Contact | 3375857989 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Port Barre Family Clinic 17695 Highway 190 Port Barre LA 70577-5178 Ph: (337) 308-0802 | Port Barre Family Clinic 17695 Highway 190 Port Barre LA 70577-5178 Ph: (337) 308-0802 |
NPI Number | 1326513383 |
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Provider Enumeration Date | 10/05/2018 |
Last Update Date | 05/07/2020 |
Medicare PECOS PAC ID | 7214271410 |
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Medicare Enrollment ID | O20181128002989 |
Identifier | Type | State | Issuer |
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1326513383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Eliza Tate |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184010605 PECOS PAC ID: 4082918578 Enrollment ID: I20181128003138 |
Acadiana Practitioners Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 414 Saizan Avenue, Port Barre, LA 70577 Phone: 337-447-4027 Fax: 337-585-2674 | |
Port Associates Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17449 Highway 190, Port Barre, LA 70577 Phone: 337-585-5270 Fax: 337-585-7176 |