Mgh Physicians Clinic - Medicare Primary Care in Bastrop, LA

  1. Home
  2. Primary Care Clinics
  3. LA
  4. Bastrop
Mgh Physicians Clinic is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Bastrop, Louisiana. The current practice location for Mgh Physicians Clinic is 425 S Vine St, Bastrop, Louisiana. For appointments, you can reach them via phone at (318) 283-3960. The mailing address for Mgh Physicians Clinic is Po Box 293, Bastrop, Louisiana and phone number is (318) 283-3622.

Mgh Physicians Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1891013496. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (318) 283-3960.

Contact Information

Mgh Physicians Clinic
425 S Vine St
Bastrop
LA 71220-4513
(318) 283-3960
(318) 239-8960

Map and Direction


Primary Care Clinic Profile

Full NameMgh Physicians Clinic
SpecialityClinic/Center
Location425 S Vine St, Bastrop, Louisiana
Authorized Official Name and PositionDerrick Frazier (CEO)
Authorized Official Contact3182833601
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mgh Physicians Clinic
Po Box 293
Bastrop
LA 71221-0293

Ph: (318) 283-3622		Mgh Physicians Clinic
425 S Vine St
Bastrop
LA 71220-4513

Ph: (318) 283-3960

NPI Details:

NPI Number1891013496
Provider Enumeration Date05/07/2010
Last Update Date05/25/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6507990165
Medicare Enrollment IDO20100818000213

Medical Identifiers

Medical identifiers for Mgh Physicians Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891013496NPI-NPPES
2114646MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LN0000XNurse Practitioner - Neonatal (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mgh Physicians Clinic acts as a billing entity for following providers:
Provider NameRenick P Webb
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1437149085
PECOS PAC ID: 0941103519
Enrollment ID: I20040130000351
Provider NameJeffrey Counts
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1710962444
PECOS PAC ID: 0446278121
Enrollment ID: I20051110000981
Provider NameDeborah C Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710023007
PECOS PAC ID: 1456435601
Enrollment ID: I20080226000662
Provider NameTimothy Spires
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1346257870
PECOS PAC ID: 2961555826
Enrollment ID: I20090725000042
Provider NameCurtis Sanders
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1144232430
PECOS PAC ID: 7517002140
Enrollment ID: I20100305000848
Provider NameJoseph A Walters
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740490895
PECOS PAC ID: 6103952841
Enrollment ID: I20100331001304
Provider NameJames M Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225065709
PECOS PAC ID: 3870599772
Enrollment ID: I20100618000012
Provider NameBal R Bhandari
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1063473494
PECOS PAC ID: 7618010661
Enrollment ID: I20100622000314
Provider NameWhite Solomon Graves
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1194700021
PECOS PAC ID: 2769445378
Enrollment ID: I20100712000507
Provider NameDavid Moan Trettin
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1902881758
PECOS PAC ID: 1456338201
Enrollment ID: I20101020000093
Provider NameLynn Milliman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790824498
PECOS PAC ID: 0042404931
Enrollment ID: I20101104000950
Provider NameDanier D Anderson
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1639347073
PECOS PAC ID: 0446448237
Enrollment ID: I20101221000288
Provider NameRenita Smalley Bryant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467748459
PECOS PAC ID: 0749450294
Enrollment ID: I20110819000299
Provider NameMartin Joseph Degravelle
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1457520801
PECOS PAC ID: 1759547474
Enrollment ID: I20120725000382
Provider NameSamuel Edward Sprehe
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1891781480
PECOS PAC ID: 7517912629
Enrollment ID: I20140106000701
Provider NameKristopher Charles Sirmon
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1295976280
PECOS PAC ID: 7517187131
Enrollment ID: I20141002002204
Provider NameMaribeth W Gambill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144334863
PECOS PAC ID: 9234144791
Enrollment ID: I20160404000372
Provider NamePamela Suzette Eisler
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1699138867
PECOS PAC ID: 8325347313
Enrollment ID: I20160426000296
Provider NameJoy Huggins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386007672
PECOS PAC ID: 8820384738
Enrollment ID: I20160901000121
Provider NameElliott Branscome Nipper
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1902811300
PECOS PAC ID: 1355345158
Enrollment ID: I20171011003372
Provider NameTiffany Lasheu Tolliver-battle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013424670
PECOS PAC ID: 4688935281
Enrollment ID: I20180222001119
Provider NameLisa Deshun Smart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790291342
PECOS PAC ID: 6406118215
Enrollment ID: I20180314001969
Provider NameApril Laine Roach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851893796
PECOS PAC ID: 9931462520
Enrollment ID: I20180412001580
Provider NameLisa Smith
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1306309125
PECOS PAC ID: 1951636166
Enrollment ID: I20190710002993
Provider NameHamid Kakavandi
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1154414977
PECOS PAC ID: 1951207885
Enrollment ID: I20191104001728
Provider NameStanley Douglas Crawford
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1497171888
PECOS PAC ID: 1951635077
Enrollment ID: I20200520001656
Provider NameKei Nagatomo
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1255777934
PECOS PAC ID: 8527488204
Enrollment ID: I20201019001851
Provider NameCameron Michael Best
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1912160748
PECOS PAC ID: 4587880281
Enrollment ID: I20210520001838
Provider NameWilliam Patrick Ensminger
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1740644665
PECOS PAC ID: 8123313053
Enrollment ID: I20220901000353
Provider NameLaquinten Cordelyona Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154015329
PECOS PAC ID: 4385007863
Enrollment ID: I20230831000313

Reviews and Comments


Clinic/Center in Bastrop, LA

Camilla Carter, Md & Carter Cox Jr., Md Apc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 206 South Vine Street, Bastrop, LA 71220
Phone: 318-281-3521    Fax: 318-281-3537
Communihealth Services - Family Practice And Behavioral Health Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 518-520 Durham Street, Bastrop, LA 71220
Phone: 318-283-8887    
Morehouse Elementary School Based Health Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1001 W Madison Ave, Bastrop, LA 71220
Phone: 318-281-8422    
Robert E Lyon Internal Medicine, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 420 Gunby Ave, Bastrop, LA 71220
Phone: 318-281-3432    Fax: 318-281-8850
Bastrop Integrated Care Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 450 E Pine Street, Bastrop, LA 71220
Phone: 318-283-0868    Fax: 318-283-0875
Mgh Rural Health Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 420 Gunby Ave, Bastrop, LA 71220
Phone: 318-283-3920    Fax: 318-239-8920
Bastrop High School Based Health Center
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 402 Highland Ave, Bastrop, LA 71220
Phone: 318-283-8887    Fax: 318-281-2559

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.