| Acadiana Practitioners Sunset | |
|
166 Oak Tree Park Dr Ste B Sunset LA 70584-6135 | |
| (337) 510-5010 | |
| (337) 585-2674 |
| Full Name | Acadiana Practitioners Sunset |
|---|---|
| Speciality | Clinic/Center |
| Location | 166 Oak Tree Park Dr Ste B, Sunset, Louisiana |
| Authorized Official Name and Position | Dustin Joseph Miller (PRESIDENT) |
| Authorized Official Contact | 3379425899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acadiana Practitioners Sunset 414 Saizan Avenue Port Barre LA 70577-5156 Ph: (337) 447-4027 | Acadiana Practitioners Sunset 166 Oak Tree Park Dr Ste B Sunset LA 70584-6135 Ph: (337) 510-5010 |
| NPI Number | 1497372957 |
|---|---|
| Provider Enumeration Date | 07/01/2020 |
| Last Update Date | 09/03/2021 |
| Medicare PECOS PAC ID | 4587924188 |
|---|---|
| Medicare Enrollment ID | O20200817001798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497372957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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