| Lake Charles Primary Care And Wellness | |
|
1905 Country Club Rd Ste B Lake Charles LA 70605-5203 | |
| (337) 990-8002 | |
| Not Available |
| Full Name | Lake Charles Primary Care And Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 1905 Country Club Rd Ste B, Lake Charles, Louisiana |
| Authorized Official Name and Position | Tamara Samson (VP REVENUE CYCLE) |
| Authorized Official Contact | 2252149352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Charles Primary Care And Wellness 10319 Jefferson Hwy Baton Rouge LA 70809-2730 Ph: (225) 239-7190 | Lake Charles Primary Care And Wellness 1905 Country Club Rd Ste B Lake Charles LA 70605-5203 Ph: (337) 990-8002 |
| NPI Number | 1083306815 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 08/15/2023 |
| Medicare PECOS PAC ID | 0840659389 |
|---|---|
| Medicare Enrollment ID | O20230630002875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083306815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lauren M Hay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508013780 PECOS PAC ID: 2163582289 Enrollment ID: I20081119000727 |
| Provider Name | Michael J Stowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265842462 PECOS PAC ID: 1052535655 Enrollment ID: I20140623001653 |
| Provider Name | Christopher Kyle Guillory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518586775 PECOS PAC ID: 7113348939 Enrollment ID: I20200603002712 |
Lake Charles Medical Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-582-7632 Fax: 337-582-7656 | |
Family Medical Center. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-478-2650 Fax: 337-478-8183 | |
Cardiovascular Outpatient Center Of Southwest Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Dr Michael Debakey Dr, Suite 300, Lake Charles, LA 70601 Phone: 337-602-9991 | |
Washington-marion Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2802 Pineview St, Lake Charles, LA 70615 Phone: 337-217-4540 Fax: 337-439-5029 | |
Headache And Wellness Center Of Southwest Louisiana, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 803 W Bayou Pines Dr Ste B, Lake Charles, LA 70601 Phone: 337-508-2333 | |
Imperial Health, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-312-6708 | |
Kndl Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4200 Nelson Rd, Lake Charles, LA 70605 Phone: 337-475-4748 Fax: 337-944-4421 |