| Hamilton Medical Group, Apc | |
| 
					200a Energy Pkwy Lafayette LA 70508-3816  | |
| (337) 988-8801 | |
| (337) 988-8805 | 
| Full Name | Hamilton Medical Group, Apc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 200a Energy Pkwy, Lafayette, Louisiana | 
| Authorized Official Name and Position | Francine A Manuel (CHAIR, BOARD OF DIRECTORS) | 
| Authorized Official Contact | 3379888801 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Hamilton Medical Group, Apc 2oo A Energy Parkway Lafayette LA 70508-8800 Ph: (337) 988-8801  | Hamilton Medical Group, Apc 200a Energy Pkwy Lafayette LA 70508-3816 Ph: (337) 988-8801  | 
| NPI Number | 1124026919 | 
|---|---|
| Provider Enumeration Date | 07/14/2005 | 
| Last Update Date | 03/05/2025 | 
| Medicare PECOS PAC ID | 5698768455 | 
|---|---|
| Medicare Enrollment ID | O20040407000017 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1124026919 | NPI | - | NPPES | 
| C50403 | Other | LA | PALMETTO GBA - RAILROAD M | 
| 1649859893 | Other | PALMETTO | |
| 1113328 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (Louisiana) | Primary | 
| Provider Name | Francine Manuel | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1073510897 PECOS PAC ID: 8022001882 Enrollment ID: I20100213000109  | 
| Provider Name | George Sobiesk | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1659378453 PECOS PAC ID: 5092804914 Enrollment ID: I20100315000112  | 
| Provider Name | Harold J Granger | 
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery | 
| Provider Identifiers | NPI Number: 1396743936 PECOS PAC ID: 4183713001 Enrollment ID: I20100323000883  | 
| Provider Name | Nathan Landry | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1427056985 PECOS PAC ID: 8729177647 Enrollment ID: I20100326000726  | 
| Provider Name | Anthony Collins Thibodeaux | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1336147081 PECOS PAC ID: 3274622196 Enrollment ID: I20100605000003  | 
| Provider Name | Ashley Roy West | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1649859893 PECOS PAC ID: 9537569694 Enrollment ID: I20240711003720  | 
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