| Img Physicians,llc | |
|
56 Starbrush Cir Covington LA 70433-7208 | |
| (337) 408-0797 | |
| (985) 871-0529 |
| Full Name | Img Physicians,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 56 Starbrush Cir, Covington, Louisiana |
| Authorized Official Name and Position | Monique Romero (REVENUE TEAM LEAD) |
| Authorized Official Contact | 3374080797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Img Physicians,llc 1375 Corporate Square Dr Slidell LA 70458-3147 Ph: (337) 408-0797 | Img Physicians,llc 56 Starbrush Cir Covington LA 70433-7208 Ph: (337) 408-0797 |
| NPI Number | 1033157441 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 01/21/2022 |
| Medicare PECOS PAC ID | 0840207122 |
|---|---|
| Medicare Enrollment ID | O20060310000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033157441 | NPI | - | NPPES |
| 03676839 | Medicaid | MS | |
| 1448125 | Medicaid | LA |
| Provider Name | Mary F Joubert |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730148677 PECOS PAC ID: 7416856687 Enrollment ID: I20060112000205 |
| Provider Name | Merrill J Laurent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083673917 PECOS PAC ID: 7113826322 Enrollment ID: I20060314000261 |
| Provider Name | John Oubre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295945434 PECOS PAC ID: 3072664820 Enrollment ID: I20090708000070 |
| Provider Name | Lindsay Marie Ponstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598005522 PECOS PAC ID: 7618116146 Enrollment ID: I20130613000489 |
| Provider Name | Mary C Porch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427107895 PECOS PAC ID: 8123930443 Enrollment ID: I20140709001972 |
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