| Salmeron Medical Care, Llc | |
| 
					1131 Rue De Belier Lafayette LA 70506  | |
| (337) 991-0571 | |
| (337) 991-0718 | 
| Full Name | Salmeron Medical Care, Llc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 1131 Rue De Belier, Lafayette, Louisiana | 
| Authorized Official Name and Position | Daniel Salmeron (PHYSICIAN/OWNER) | 
| Authorized Official Contact | 3373222025 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Salmeron Medical Care, Llc 1042 Camellia Boulevard Apartment 1202 Lafayette LA 70508 Ph: (337) 322-2025  | Salmeron Medical Care, Llc 1131 Rue De Belier Lafayette LA 70506 Ph: (337) 991-0571  | 
| NPI Number | 1962737593 | 
|---|---|
| Provider Enumeration Date | 10/15/2009 | 
| Last Update Date | 02/01/2011 | 
| Medicare PECOS PAC ID | 3870772676 | 
|---|---|
| Medicare Enrollment ID | O20110126000348 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962737593 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | MD200830 (Louisiana) | Primary | 
| Provider Name | Daniel Salmeron | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1073551511 PECOS PAC ID: 4486650090 Enrollment ID: I20061004000447  | 
| Provider Name | Andrea Caprice Anderson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1942616321 PECOS PAC ID: 9638391113 Enrollment ID: I20141118001313  | 
| Provider Name | Colby L Winborn | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1558751651 PECOS PAC ID: 9436477163 Enrollment ID: I20150409001216  | 
| Provider Name | Aniece Nicole Smith | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1104342682 PECOS PAC ID: 8325305121 Enrollment ID: I20171204001623  | 
| Provider Name | Roger M Guerin | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1225695752 PECOS PAC ID: 1557796992 Enrollment ID: I20200114000443  | 
| Provider Name | Jessica Rodrigue | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1407554710 PECOS PAC ID: 4981078334 Enrollment ID: I20230327000019  | 
| Provider Name | Joey Meko Williams-thompson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1316646904 PECOS PAC ID: 6800235714 Enrollment ID: I20240411002068  | 
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