| Bayou Region Family Practice | |
|
3915 Darnall Rd New Iberia LA 70560-0459 | |
| (337) 365-1305 | |
| Not Available |
| Full Name | Bayou Region Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 3915 Darnall Rd, New Iberia, Louisiana |
| Authorized Official Name and Position | Samona Smith Drexler (NURSE PRACTITIONER) |
| Authorized Official Contact | 3373565168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayou Region Family Practice Po Box 468 Jeanerette LA 70544-0468 Ph: () - | Bayou Region Family Practice 3915 Darnall Rd New Iberia LA 70560-0459 Ph: (337) 365-1305 |
| NPI Number | 1134621592 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 08/21/2019 |
| Medicare PECOS PAC ID | 1759635907 |
|---|---|
| Medicare Enrollment ID | O20181107001045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134621592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeneen A Black-turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194027102 PECOS PAC ID: 9537341748 Enrollment ID: I20110309000717 |
| Provider Name | Samona Drexler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124323902 PECOS PAC ID: 0749503530 Enrollment ID: I20141231001562 |
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