| Fontenot Healthcare Inc. | |
| 
					421 Jack Miller Rd Ville Platte LA 70586-5613  | |
| (337) 363-4499 | |
| (337) 363-4990 | 
| Full Name | Fontenot Healthcare Inc. | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 421 Jack Miller Rd, Ville Platte, Louisiana | 
| Authorized Official Name and Position | James Brandon Fontenot (OWNER) | 
| Authorized Official Contact | 3373634499 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Fontenot Healthcare Inc. 421 Jack Miller Rd Ville Platte LA 70586-5613 Ph: (337) 363-4499  | Fontenot Healthcare Inc. 421 Jack Miller Rd Ville Platte LA 70586-5613 Ph: (337) 363-4499  | 
| NPI Number | 1790713444 | 
|---|---|
| Provider Enumeration Date | 06/30/2006 | 
| Last Update Date | 01/11/2010 | 
| Medicare PECOS PAC ID | 1557376449 | 
|---|---|
| Medicare Enrollment ID | O20060714000232 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1790713444 | NPI | - | NPPES | 
| 1049484 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 025984 (Louisiana) | Primary | 
| Provider Name | James B Fontenot | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1770524332 PECOS PAC ID: 0941297253 Enrollment ID: I20040428001212  | 
| Provider Name | Amy E Fontenot | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1427365105 PECOS PAC ID: 6305031097 Enrollment ID: I20101108000720  | 
Southwest Louisiana Primary Health Care Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 505 E Lincoln Rd, Ville Platte, LA 70586 Phone: 337-942-3390 Fax: 337-942-8644  | |
Charles J, Aswell Iii Md A Prof Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 Jack Miller Rd, Suite A, Ville Platte, LA 70586 Phone: 337-363-7474  | |
Heinen Medical Vp Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1535 W Main St Ste 6, Ville Platte, LA 70586 Phone: 337-363-5521 Fax: 337-363-9134  | |
Henry J. Dupre, M.d. Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 W Main St, Ville Platte, LA 70586 Phone: 337-363-5531 Fax: 337-363-5250  | |
Charles J Aswell Iii Md A Prof Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 Jack Miller Road, Ste A, Ville Platte, LA 70586 Phone: 337-363-7474 Fax: 337-363-1197  | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Court St Ste 200, Ville Platte, LA 70586 Phone: 833-784-2669 Fax: 844-784-2329  | |
Thomas G. Fontenot, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 East Lincoln Road, Ville Platte, LA 70586 Phone: 337-363-7744  |