Teche Action Clinic | |
1115 Weber St Franklin LA 70538-4124 | |
(337) 828-2550 | |
(337) 355-2335 |
Full Name | Teche Action Clinic |
---|---|
Speciality | Clinic/Center |
Location | 1115 Weber St, Franklin, Louisiana |
Authorized Official Name and Position | Gary M Wiltz (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3378282550 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Teche Action Clinic 1115 Weber St Franklin LA 70538-4124 Ph: (337) 828-2550 | Teche Action Clinic 1115 Weber St Franklin LA 70538-4124 Ph: (337) 828-2550 |
NPI Number | 1174579262 |
---|---|
Provider Enumeration Date | 05/26/2006 |
Last Update Date | 07/12/2023 |
Medicare PECOS PAC ID | 0648163980 |
---|---|
Medicare Enrollment ID | O20041109000792 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174579262 | NPI | - | NPPES |
1136174 | Medicaid | LA | |
1940925 | Medicaid | LA | |
1174579262 | Other | LA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 04402470N (Louisiana) | Primary |
Provider Name | Victor Jackson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114968351 PECOS PAC ID: 0042294639 Enrollment ID: I20040614000091 |
Provider Name | Michelle R Simon |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922061175 PECOS PAC ID: 9133109069 Enrollment ID: I20040722000018 |
Provider Name | Timothy J Pellegrin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134160815 PECOS PAC ID: 6002879137 Enrollment ID: I20041109000823 |
Provider Name | Sherry A Aucoin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023193364 PECOS PAC ID: 6103826565 Enrollment ID: I20070109000058 |
Provider Name | Candice C Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336266220 PECOS PAC ID: 4688773807 Enrollment ID: I20070628000173 |
Provider Name | Jennifer C Fabre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285800698 PECOS PAC ID: 9739259938 Enrollment ID: I20080530000249 |
Provider Name | Lisa Oubre |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1972793669 PECOS PAC ID: 3072651520 Enrollment ID: I20091104000053 |
Provider Name | Ronald C Marts |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114027299 PECOS PAC ID: 2567503766 Enrollment ID: I20100111000322 |
Provider Name | Melissa Ann Clay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164741799 PECOS PAC ID: 9234262130 Enrollment ID: I20100729000081 |
Provider Name | Gary M Wiltz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477596351 PECOS PAC ID: 9133013535 Enrollment ID: I20100827000852 |
Provider Name | Jason M Scioneaux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861728503 PECOS PAC ID: 6406040351 Enrollment ID: I20101104000557 |
Provider Name | Jennifer R Millet |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437464906 PECOS PAC ID: 6901093491 Enrollment ID: I20101209000789 |
Provider Name | Guillermo Delgado |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1902085103 PECOS PAC ID: 5193885747 Enrollment ID: I20110208000407 |
Provider Name | Kristin Fortier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306963723 PECOS PAC ID: 1850561218 Enrollment ID: I20110823000637 |
Provider Name | Rebecca M Breaux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538596739 PECOS PAC ID: 5395974745 Enrollment ID: I20140204001669 |
Provider Name | Kristi Mcdonald Boudreaux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669814513 PECOS PAC ID: 1355566159 Enrollment ID: I20140711001147 |
Provider Name | Crystal Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790140549 PECOS PAC ID: 9032398664 Enrollment ID: I20161221001385 |
Provider Name | Elizabeth Rousseve |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558811216 PECOS PAC ID: 3971883224 Enrollment ID: I20170413000402 |
Provider Name | Richard James Bergeron |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700323540 PECOS PAC ID: 3971880584 Enrollment ID: I20170509001945 |
Provider Name | Emily Geesling Bergeron |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033627906 PECOS PAC ID: 5294099305 Enrollment ID: I20180425002257 |
Provider Name | Marcia Ann Blereau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588198212 PECOS PAC ID: 2062767759 Enrollment ID: I20180621000050 |
Provider Name | Bethanie Taylor Thibodaux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740732536 PECOS PAC ID: 2163771353 Enrollment ID: I20180821003566 |
Provider Name | Patrice Edwards Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891289831 PECOS PAC ID: 1355675521 Enrollment ID: I20190620003184 |
Provider Name | Nicole Lee Kerley-mcguire |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1124011879 PECOS PAC ID: 7810221009 Enrollment ID: I20190621000505 |
Provider Name | Felicia Shipp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649828724 PECOS PAC ID: 8820423148 Enrollment ID: I20200115000532 |
Provider Name | Kalisha N Nelson |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1134493695 PECOS PAC ID: 6002174877 Enrollment ID: I20200331001806 |
Provider Name | Alexis Michele Bourgeois |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346873403 PECOS PAC ID: 3870923642 Enrollment ID: I20200417002249 |
Provider Name | Bianca Steib Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174157085 PECOS PAC ID: 1759711062 Enrollment ID: I20200428000513 |
Provider Name | Brian Gregory Serio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326655952 PECOS PAC ID: 1254751027 Enrollment ID: I20201015002764 |
Provider Name | Jill L Bueche |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598370991 PECOS PAC ID: 0648690115 Enrollment ID: I20201022000245 |
Provider Name | Jennifer Kay Villalobos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609348259 PECOS PAC ID: 4688086853 Enrollment ID: I20201211000509 |
Provider Name | Tabitha D Luke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407520463 PECOS PAC ID: 0648659540 Enrollment ID: I20220623002158 |
Provider Name | Austin Ber |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1134748999 PECOS PAC ID: 7618392051 Enrollment ID: I20220822000492 |
Provider Name | Andretta R Porter-williams |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1831319433 PECOS PAC ID: 6901165588 Enrollment ID: I20220906000471 |
Provider Name | Kelsey Lynn Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508586462 PECOS PAC ID: 3971970005 Enrollment ID: I20221102003355 |
Provider Name | Shonda Lafaye Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275257172 PECOS PAC ID: 1153792981 Enrollment ID: I20230113001613 |
Provider Name | Ayesha Hester |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1992109581 PECOS PAC ID: 5193178499 Enrollment ID: I20240201003614 |
Provider Name | Carolyn Higdon |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1396226767 PECOS PAC ID: 8224471560 Enrollment ID: I20240203000485 |
Provider Name | Shalonda Nichole Johnson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1588847743 PECOS PAC ID: 2961845144 Enrollment ID: I20240205001471 |
Provider Name | Suzanne R Simon |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1457853699 PECOS PAC ID: 2466895685 Enrollment ID: I20240205002835 |
Provider Name | G'nell R Hall |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1942400874 PECOS PAC ID: 7012350176 Enrollment ID: I20240206003554 |
Provider Name | Gary Dupree |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1356880397 PECOS PAC ID: 5799129235 Enrollment ID: I20240222004064 |
Provider Name | Jamila Staples |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1326675851 PECOS PAC ID: 1658718713 Enrollment ID: I20240325002307 |
Acadiana Family Practice Associates, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 Bethia St, Franklin, LA 70538 Phone: 337-828-3507 Fax: 337-828-7204 | |
Louis H Mccormick Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 606 Haifleigh St, Franklin, LA 70538 Phone: 337-828-4440 | |
Jesus L. Chua Md A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 602 Haifleigh St, Franklin, LA 70538 Phone: 337-828-4037 Fax: 337-828-7740 | |
Glencoe Education Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4491 Highway 83, Franklin, LA 70538 Phone: 337-923-6900 | |
Jana Gautreaux Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 814 Main St, Franklin, LA 70538 Phone: 043-020-3845 Fax: 985-231-0213 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 Main St., Franklin, LA 70438 Phone: 985-839-3434 |