| M.C. Empowerment Enterprise | |
|
606 Latiolais Dr Breaux Bridge LA 70517-4231 | |
| (337) 442-6254 | |
| (337) 442-6112 |
| Full Name | M.C. Empowerment Enterprise |
|---|---|
| Speciality | Internal Medicine |
| Location | 606 Latiolais Dr, Breaux Bridge, Louisiana |
| Authorized Official Name and Position | Cammie M Broussard (OWNER) |
| Authorized Official Contact | 3372585143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M.C. Empowerment Enterprise Po Box 1075 Carencro LA 70520-1075 Ph: (337) 258-5143 | M.C. Empowerment Enterprise 606 Latiolais Dr Breaux Bridge LA 70517-4231 Ph: (337) 442-6254 |
| NPI Number | 1720794639 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 01/24/2023 |
| Certification Date | 01/24/2023 |
| Medicare PECOS PAC ID | 8820460876 |
|---|---|
| Medicare Enrollment ID | O20230221000917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720794639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Cammie M Broussard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548799331 PECOS PAC ID: 7214294537 Enrollment ID: I20171121003470 |
St Martin Parish Government Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1555 Gary Dr, Breaux Bridge, LA 70517 Phone: 337-332-2857 Fax: 337-332-5745 |
Med Ed of Louisiana, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 209 Champagne Blvd., Breaux Bridge, LA 70517 Phone: 337-332-0222 Fax: 337-332-1102 |
Jeanne D. Theriot MD Apmllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 Champagne Blvd, Breaux Bridge, LA 70517 Phone: 337-332-2242 |
Calcasieu Urgent Care, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 280a Rees St, Breaux Bridge, LA 70517 Phone: 337-294-0701 Fax: 337-294-0702 |
Pediatric Group of Acadiana Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Lakes Blvd, Breaux Bridge, LA 70517 Phone: 337-332-3971 |
St. Martin Hospital Community Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1555 Gary Dr Ste C, Breaux Bridge, LA 70517 Phone: 337-909-2460 |