| Acadiana Practitioners Opelousas | |
|
1119 Prudhomme Cir Ste F Opelousas LA 70570-6516 | |
| (337) 942-5899 | |
| (337) 942-5978 |
| Full Name | Acadiana Practitioners Opelousas |
|---|---|
| Speciality | Clinic/Center |
| Location | 1119 Prudhomme Cir Ste F, Opelousas, Louisiana |
| Authorized Official Name and Position | Dustin Joseph Miller (PRESIDENT) |
| Authorized Official Contact | 3374474027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acadiana Practitioners Opelousas 414 Saizan Avenue Port Barre LA 70577 Ph: (337) 447-4027 | Acadiana Practitioners Opelousas 1119 Prudhomme Cir Ste F Opelousas LA 70570-6516 Ph: (337) 942-5899 |
| NPI Number | 1255809166 |
|---|---|
| Provider Enumeration Date | 11/08/2018 |
| Last Update Date | 03/02/2020 |
| Certification Date | 03/02/2020 |
| Medicare PECOS PAC ID | 4587924188 |
|---|---|
| Medicare Enrollment ID | O20190808000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255809166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
Opelousas General Health System Physician Practices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 827 N Union St, Opelousas, LA 70570 Phone: 337-948-1802 Fax: 337-942-9074 |
Acute Recovery Medical Services LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5620 I 49 N Service Rd, Opelousas, LA 70570 Phone: 347-476-6272 |
Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3921 I 49 S Service Rd, Opelousas, LA 70570 Phone: 337-942-5706 Fax: 337-942-2644 |
Acadiana Practitioners' Gastro Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 331 S Main St, Opelousas, LA 70570 Phone: 337-447-4027 Fax: 337-585-2674 |
Specialty Clinic Ap Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Hospital Dr Ste 4, Opelousas, LA 70570 Phone: 337-447-4027 |
Lily Pad Pediatrics, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 153 Town Boulevard, Opelousas, LA 70570 Phone: 337-942-4453 |