| Pediatric Group Of Acadiana Llc | |
| 
					550 West Veterans Memorial Drive Erath LA 70533-3430  | |
| (337) 918-6341 | |
| (337) 918-6346 | 
| Full Name | Pediatric Group Of Acadiana Llc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 550 West Veterans Memorial Drive, Erath, Louisiana | 
| Authorized Official Name and Position | Antoinette Rabenaldt (CREDENTIALING COORDINATOR) | 
| Authorized Official Contact | 3373302576 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pediatric Group Of Acadiana Llc 302 Hacker St New Iberia LA 70560-4508 Ph: (337) 330-2576  | Pediatric Group Of Acadiana Llc 550 West Veterans Memorial Drive Erath LA 70533-3430 Ph: (337) 918-6341  | 
| NPI Number | 1073973533 | 
|---|---|
| Provider Enumeration Date | 02/26/2016 | 
| Last Update Date | 12/03/2024 | 
| Medicare PECOS PAC ID | 2466476023 | 
|---|---|
| Medicare Enrollment ID | O20160405001150 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073973533 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Louisiana) | Primary | 
Our Lady Of Lourdes Regional Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 E Edward St, Erath, LA 70533 Phone: 337-937-5803 Fax: 337-937-5806  | |
Abbeville General Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 North Rd, Erath, LA 70533 Phone: 337-937-5944 Fax: 337-898-6506  | |
Erath Family Doctor Clinc, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 E Edwards St, Erath, LA 70533 Phone: 337-937-5803 Fax: 337-937-5806  |