The Bonin Clinic Llc | |
1215 Independence Blvd 1a Zachary LA 70791-7390 | |
(225) 570-2010 | |
(225) 570-8573 |
Full Name | The Bonin Clinic Llc |
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Speciality | Clinic/Center |
Location | 1215 Independence Blvd, Zachary, Louisiana |
Authorized Official Name and Position | Otto Joseph Bonin (OWNER) |
Authorized Official Contact | 2255702010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Bonin Clinic Llc 1215 Independence Blvd 1a Zachary LA 70791-7390 Ph: (225) 570-2010 | The Bonin Clinic Llc 1215 Independence Blvd 1a Zachary LA 70791-7390 Ph: (225) 570-2010 |
NPI Number | 1003280512 |
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Provider Enumeration Date | 11/20/2015 |
Last Update Date | 07/08/2024 |
Medicare PECOS PAC ID | 7012219744 |
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Medicare Enrollment ID | O20160112001522 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003280512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | AP04429 (Louisiana) | Primary |
363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Otto Joseph Bonin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558368316 PECOS PAC ID: 4284614694 Enrollment ID: I20040724000181 |
Provider Name | Chelsey D Phillips |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356833883 PECOS PAC ID: 9234488677 Enrollment ID: I20180820000265 |
Zachary Schools Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4656 Main Street, Zachary, LA 70791 Phone: 225-654-8936 | |
Gruner Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6180 Main St, Suite B, Zachary, LA 70791 Phone: 225-658-5959 Fax: 225-658-9998 | |
Lane Regional Medical Center-lane Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2335 Church St, Ste E, Zachary, LA 70791 Phone: 225-654-3607 Fax: 225-658-2262 | |
True Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20959 Anderson Rd, Zachary, LA 70791 Phone: 225-367-8174 Fax: 225-208-1073 | |
Southeast Community Health Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 E Flanacher Road, Zachary, LA 70791 Phone: 225-306-2000 Fax: 225-222-6543 | |
Ochsner Health Center - Zachary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4845 Main St, Zachary, LA 70791 Phone: 225-761-5865 |