| Phca Houma Llc | |
|
435 Corporate Dr Ste 402 Houma LA 70360-2498 | |
| (985) 400-3019 | |
| (985) 400-3021 |
| Full Name | Phca Houma Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 435 Corporate Dr Ste 402, Houma, Louisiana |
| Authorized Official Name and Position | Wayne L Wiliams (CFO) |
| Authorized Official Contact | 2147631184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phca Houma Llc 119 E Main St Ste 200 Lafayette LA 70501-6921 Ph: (214) 763-1184 | Phca Houma Llc 435 Corporate Dr Ste 402 Houma LA 70360-2498 Ph: (985) 400-3019 |
| NPI Number | 1356973077 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 07/23/2020 |
| Medicare PECOS PAC ID | 8426478967 |
|---|---|
| Medicare Enrollment ID | O20201021002435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356973077 | NPI | - | NPPES |
| Provider Name | Maryellon Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396745907 PECOS PAC ID: 9638135551 Enrollment ID: I20041202000690 |
| Provider Name | Mark J Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679518823 PECOS PAC ID: 0941253504 Enrollment ID: I20050224000661 |
| Provider Name | Jessica L Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508975111 PECOS PAC ID: 0941259527 Enrollment ID: I20050415000756 |
| Provider Name | Dwayne P Andras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043324684 PECOS PAC ID: 5092718403 Enrollment ID: I20060824000002 |
| Provider Name | William Kenneth Mask |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215030507 PECOS PAC ID: 2264452457 Enrollment ID: I20080722000445 |
| Provider Name | Robert L Tassin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306014667 PECOS PAC ID: 4082764154 Enrollment ID: I20091229000257 |
| Provider Name | Kristin Elizabeth Tauzin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093053522 PECOS PAC ID: 3375789597 Enrollment ID: I20130413000006 |
| Provider Name | Alison L Bergeron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568895969 PECOS PAC ID: 9436385663 Enrollment ID: I20131119000055 |
| Provider Name | Lauren Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902212301 PECOS PAC ID: 7012133010 Enrollment ID: I20140729000381 |
| Provider Name | Donna Boudreaux Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982196432 PECOS PAC ID: 0648524017 Enrollment ID: I20181121002015 |
| Provider Name | Nicole M Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245829407 PECOS PAC ID: 6800203878 Enrollment ID: I20210319000315 |
| Provider Name | Patrice Leblanc Hebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447827340 PECOS PAC ID: 9032512462 Enrollment ID: I20210722003493 |
Gii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 Belanger St, Suite 205, Houma, LA 70360 Phone: 985-868-7773 Fax: 985-868-4242 | |
Children's International, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 Mystic Blvd, Houma, LA 70360 Phone: 985-868-9339 Fax: 855-519-4481 | |
Physician Practice Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8166 Main St, Houma, LA 70360 Phone: 985-873-4141 | |
Life Coast Community Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 605 Enterprise Dr Ste C, Houma, LA 70360 Phone: 985-360-3755 Fax: 985-879-4580 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 Armour Dr, Houma, LA 70364 Phone: 833-784-2669 Fax: 844-784-2329 | |
William H. St. Martin, M.d. A Professional Corpo Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 818 Verret Street, Houma, LA 70360 Phone: 985-857-8001 Fax: 985-857-8330 | |
Comprehensive Care Plus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8120 Main St, Suite 403, Houma, LA 70360 Phone: 985-868-3737 Fax: 985-873-9997 |