| Warren J. Degatur, Jr. Md Inc | |
|
206 Champagne Blvd Suite A Breaux Bridge LA 70517-3700 | |
| (337) 332-3500 | |
| Not Available |
| Full Name | Warren J. Degatur, Jr. Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 206 Champagne Blvd, Breaux Bridge, Louisiana |
| Authorized Official Name and Position | Ramona Foster (MEDICAL RECORDS) |
| Authorized Official Contact | 3373323500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren J. Degatur, Jr. Md Inc 206 Champagne Blvd Suite A Breaux Bridge LA 70517-3700 Ph: (337) 332-3500 | Warren J. Degatur, Jr. Md Inc 206 Champagne Blvd Suite A Breaux Bridge LA 70517-3700 Ph: (337) 332-3500 |
| NPI Number | 1568654689 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 01/20/2010 |
| Medicare PECOS PAC ID | 4385707108 |
|---|---|
| Medicare Enrollment ID | O20090106000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568654689 | NPI | - | NPPES |
| 1720047079 | Other | NPI-INDVIDUAL | |
| 1949329 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 017128 (Louisiana) | Primary |
| Provider Name | Warren J Degatur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720047079 PECOS PAC ID: 5698856946 Enrollment ID: I20080114000093 |
| Provider Name | Benjamin T Degatur |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1013158088 PECOS PAC ID: 3375708746 Enrollment ID: I20120710000396 |
St Martin Parish Government Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1555 Gary Dr, Breaux Bridge, LA 70517 Phone: 337-332-2857 Fax: 337-332-5745 | |
Med Ed Of Louisiana, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 209 Champagne Blvd., Breaux Bridge, LA 70517 Phone: 337-332-0222 Fax: 337-332-1102 | |
Jeanne D. Theriot Md Apmllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 Champagne Blvd, Breaux Bridge, LA 70517 Phone: 337-332-2242 | |
Calcasieu Urgent Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280a Rees St, Breaux Bridge, LA 70517 Phone: 337-294-0701 Fax: 337-294-0702 | |
Pediatric Group Of Acadiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Lakes Blvd, Breaux Bridge, LA 70517 Phone: 337-332-3971 | |
Fuselier Healthcare Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1525 East Bridge St., Breaux Bridge, LA 70517 Phone: 337-442-1131 Fax: 337-442-1223 | |
St. Martin Hospital Community Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1555 Gary Dr Ste C, Breaux Bridge, LA 70517 Phone: 337-909-2460 |