| Bourgeois Family Medicine Clinic A Professional Medical Corporation | |
| 
					1409 Church St Jeanerette LA 70544-4407  | |
| (337) 276-6018 | |
| (337) 276-9507 | 
| Full Name | Bourgeois Family Medicine Clinic A Professional Medical Corporation | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 1409 Church St, Jeanerette, Louisiana | 
| Authorized Official Name and Position | Leonard Barrow Bourgeois (OWNER) | 
| Authorized Official Contact | 3372766018 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Bourgeois Family Medicine Clinic A Professional Medical Corporation 1409 Church St Jeanerette LA 70544-4407 Ph: (337) 276-6018  | Bourgeois Family Medicine Clinic A Professional Medical Corporation 1409 Church St Jeanerette LA 70544-4407 Ph: (337) 276-6018  | 
| NPI Number | 1710169479 | 
|---|---|
| Provider Enumeration Date | 12/04/2007 | 
| Last Update Date | 03/11/2008 | 
| Medicare PECOS PAC ID | 2668553173 | 
|---|---|
| Medicare Enrollment ID | O20080122000537 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710169479 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | 017806 (Louisiana) | Primary | 
| Provider Name | Leonard B Bourgeois | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1053413583 PECOS PAC ID: 2769563279 Enrollment ID: I20080122000533  | 
James Falterman, Md, Amc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 Church St, Jeanerette, LA 70544 Phone: 337-276-6374 Fax: 337-276-5815  | |
Stephen A Boudreaux Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2716 Main St, Jeanerette, LA 70544 Phone: 337-276-5012 Fax: 337-276-9378  | |
St. Joseph's Clinic Of Louisiana Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1409 Church St, Jeanerette, LA 70544 Phone: 337-276-6018 Fax: 337-901-5805  | |
Hospital Service District No. 1 Of Iberia Parish Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 Bourg St, Jeanerette, LA 70544 Phone: 337-276-7002 Fax: 337-276-3700  |