| Edwards Family Medicine A Professional Medical Corporation | |
|
1322 Elton Rd Ste P Jennings LA 70546-4100 | |
| (337) 824-2282 | |
| (337) 824-0058 |
| Full Name | Edwards Family Medicine A Professional Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1322 Elton Rd Ste P, Jennings, Louisiana |
| Authorized Official Name and Position | Richard Earl Edwards (OWNER) |
| Authorized Official Contact | 3378242282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwards Family Medicine A Professional Medical Corporation 1322 Elton Rd Ste P Jennings LA 70546-4100 Ph: (337) 824-2282 | Edwards Family Medicine A Professional Medical Corporation 1322 Elton Rd Ste P Jennings LA 70546-4100 Ph: (337) 824-2282 |
| NPI Number | 1619236569 |
|---|---|
| Provider Enumeration Date | 05/14/2012 |
| Last Update Date | 03/28/2024 |
| Medicare PECOS PAC ID | 7618126194 |
|---|---|
| Medicare Enrollment ID | O20120926000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619236569 | NPI | - | NPPES |
| 2609921 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Richard E Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003059403 PECOS PAC ID: 0042469520 Enrollment ID: I20120926000596 |
| Provider Name | Kristen H Hanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477961464 PECOS PAC ID: 9133442627 Enrollment ID: I20150109000109 |
| Provider Name | Ryan John Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619355252 PECOS PAC ID: 2264746759 Enrollment ID: I20180822001293 |
| Provider Name | Samantha C Gilcrease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710627328 PECOS PAC ID: 6002295870 Enrollment ID: I20220624001224 |
Ochsner Health Center - N State St Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 805 State St, Jennings, LA 70546 Phone: 337-824-6150 Fax: 337-824-3143 | |
Jeff Davis Family Medicine A Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1322 Elton Rd, Suite D, Jennings, LA 70546 Phone: 337-824-1111 Fax: 337-824-1122 | |
Jeff Davis Chiropractic Clinci Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 N Church St, Jennings, LA 70546 Phone: 337-824-6166 | |
Edwards Family Medicine A Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1322 Elton Rd Ste P, Jennings, LA 70546 Phone: 337-824-2282 Fax: 337-824-0058 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1530 Highway 90 W, Jennings, LA 70546 Phone: 337-824-3850 | |
Lam Nguyen Md Pmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1322 Elton Rd, Suite E, Jennings, LA 70546 Phone: 337-824-6835 Fax: 337-824-8741 | |
Jennings Internal Medicine Associates Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1902 Johnson St, Jennings, LA 70546 Phone: 337-824-9119 Fax: 337-824-7005 |