| Bayou Family Care | |
|
832 Julia St Rayville LA 71269-2608 | |
| (318) 728-4787 | |
| (318) 728-2598 |
| Full Name | Bayou Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 832 Julia St, Rayville, Louisiana |
| Authorized Official Name and Position | Brittney Whitlock (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3183256200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayou Family Care Po Box 15581 Monroe LA 71207-5581 | Bayou Family Care 832 Julia St Rayville LA 71269-2608 Ph: (318) 728-4787 |
| NPI Number | 1497357156 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 11/16/2020 |
| Certification Date | 11/16/2020 |
| Medicare PECOS PAC ID | 5092126672 |
|---|---|
| Medicare Enrollment ID | O20201203001185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497357156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
| Provider Name | Valerie B Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205187499 PECOS PAC ID: 7719132430 Enrollment ID: I20130304000391 |
| Provider Name | Cecilia C Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922231992 PECOS PAC ID: 4688968001 Enrollment ID: I20160808002842 |
| Provider Name | Holly Reichardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134636293 PECOS PAC ID: 6800207481 Enrollment ID: I20201203001665 |
Bayou MD, LC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 990 Highway 425, Rayville, LA 71269 Phone: 888-923-6363 Fax: 888-923-6363 |
Northeast Louisiana Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 256 Highway 3048, Rayville, LA 71269 Phone: 318-728-2046 Fax: 318-728-9371 |
Rayville Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1962 Julia St, Rayville, LA 71269 Phone: 318-728-8833 Fax: 318-728-6183 |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 708 Julia St Ste 200, Rayville, LA 71269 Phone: 833-784-2669 Fax: 844-784-2329 |
Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Ellington Dr, Rayville, LA 71269 Phone: 318-728-4181 |
Richardson Medical Center School Based Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Hwy 3048, Rayville, LA 71269 Phone: 318-728-4181 |