| Jean Woel Latortue | |
|
506 Texas Highway 37 S Mt Vernon TX 75457-6550 | |
| (903) 767-7666 | |
| Not Available |
| Full Name | Jean Woel Latortue |
|---|---|
| Speciality | Clinic/Center |
| Location | 506 Texas Highway 37 S, Mt Vernon, Texas |
| Authorized Official Name and Position | Jean Woel Latortue (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9037677666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Woel Latortue 506 Texas Highway 37 S Mt Vernon TX 75457-6550 Ph: (903) 537-8222 | Jean Woel Latortue 506 Texas Highway 37 S Mt Vernon TX 75457-6550 Ph: (903) 767-7666 |
| NPI Number | 1699171611 |
|---|---|
| Provider Enumeration Date | 11/18/2014 |
| Last Update Date | 05/20/2024 |
| Medicare PECOS PAC ID | 9830417229 |
|---|---|
| Medicare Enrollment ID | O20150415000895 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699171611 | NPI | - | NPPES |
| 673934 | Other | MEDICARE | |
| 349100302 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M7797 (Texas) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |
| Provider Name | Jean Woel Latortue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780871988 PECOS PAC ID: 9335225754 Enrollment ID: I20080326000384 |
| Provider Name | Rebecca Ramsay Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013472273 PECOS PAC ID: 5294127635 Enrollment ID: I20220118000078 |
Premise Health Of Texas Medical, P.a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 955 Lowes Ln, Mt Vernon, TX 75457 Phone: 903-537-7500 Fax: 903-537-7584 | |
East Texas Medical Center Pittsburg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 South State Hwy 37, Mt Vernon, TX 75457 Phone: 903-537-8222 |