Breedlove Wound Care Of Louisiana Llc is a medicare enrolled primary clinic (Family Medicine) in Belcher, Louisiana. The current practice location for Breedlove Wound Care Of Louisiana Llc is 201 Gray St, Belcher, Louisiana. For appointments, you can reach them via phone at
(903) 947-2020. The mailing address for Breedlove Wound Care Of Louisiana Llc is Po Box 1129, Tatum, Texas and phone number is () -.
Breedlove Wound Care Of Louisiana Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1730984097. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(903) 947-2020.
Primary Care Clinic Profile
| Full Name | Breedlove Wound Care Of Louisiana Llc |
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| Speciality | Family Medicine |
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| Location | 201 Gray St, Belcher, Louisiana |
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| Authorized Official Name and Position | Elizabeth Ann Breedlove (OWNER) |
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| Authorized Official Contact | 9039472020 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Breedlove Wound Care Of Louisiana Llc
Po Box 1129
Tatum
TX 75691-1129
Ph: () - | Breedlove Wound Care Of Louisiana Llc
201 Gray St
Belcher
LA 71004-7729
Ph: (903) 947-2020 |
NPI Details:
| NPI Number | 1730984097 |
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| Provider Enumeration Date | 02/19/2025 |
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| Last Update Date | 02/19/2025 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1850812405 |
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| Medicare Enrollment ID | O20250311003478 |
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Medical Identifiers
Medical identifiers for Breedlove Wound Care Of Louisiana Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730984097 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Breedlove Wound Care Of Louisiana Llc acts as a billing entity for following providers:
| Provider Name | Michael J Weber |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1679626097
PECOS PAC ID: 6608976238
Enrollment ID: I20120223000629 |
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