| Childrens Clinic Of Raceland Llc | |
|
110 Acadia Park Dr Raceland LA 70394-2618 | |
| (985) 537-8687 | |
| (985) 537-8976 |
| Full Name | Childrens Clinic Of Raceland Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 110 Acadia Park Dr, Raceland, Louisiana |
| Authorized Official Name and Position | Luisa Cuario Bacuta-tagorda (MEMBER MANAGER) |
| Authorized Official Contact | 9855378687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Clinic Of Raceland Llc 110 Acadia Park Dr Raceland LA 70394-2618 Ph: (985) 537-8687 | Childrens Clinic Of Raceland Llc 110 Acadia Park Dr Raceland LA 70394-2618 Ph: (985) 537-8687 |
| NPI Number | 1902009350 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 03/04/2021 |
| Medicare PECOS PAC ID | 2365506847 |
|---|---|
| Medicare Enrollment ID | O20210216002153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902009350 | NPI | - | NPPES |
| 1819336 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 08233R (Louisiana) | Secondary |
| 208000000X | Pediatrics | 08233R (Louisiana) | Primary |
| Provider Name | Luisa Bacuta-tagorda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285650200 PECOS PAC ID: 0648287706 Enrollment ID: I20060314000582 |
Ochsner Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Acadia Drive, Raceland, LA 70394 Phone: 504-842-3000 Fax: 504-842-6901 | |
Physiofit Physical Therapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 White Rose Dr, Raceland, LA 70394 Phone: 985-532-9662 Fax: 985-532-3942 | |
C V Guillermo Jr A Professional Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4912 Highway 1, Raceland, LA 70394 Phone: 985-532-5092 Fax: 985-532-8044 | |
Thibodaux Regional Network Development Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4560 Highway 1 Ste 3, Raceland, LA 70394 Phone: 985-435-4831 Fax: 985-449-2513 | |
Ochsner Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Cypress St, Raceland, LA 70394 Phone: 985-537-6841 Fax: 504-842-6997 | |
Ochsner Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4608 Highway 1, Raceland, LA 70394 Phone: 985-537-8377 | |
Ochsner Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Twin Oaks Dr, Raceland, LA 70394 Phone: 985-537-2666 |