| Beauregard Medical Group Llc | |
|
12186 Highway 171 Longville LA 70652 | |
| (337) 226-5301 | |
| Not Available |
| Full Name | Beauregard Medical Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12186 Highway 171, Longville, Louisiana |
| Authorized Official Name and Position | David Vizinat (OWNER/ PROVIDER) |
| Authorized Official Contact | 3374057778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beauregard Medical Group Llc 12186 Highway 171 Longville LA 70652-4625 Ph: (337) 405-7778 | Beauregard Medical Group Llc 12186 Highway 171 Longville LA 70652 Ph: (337) 226-5301 |
| NPI Number | 1689126658 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 02/04/2020 |
| Medicare PECOS PAC ID | 8729356456 |
|---|---|
| Medicare Enrollment ID | O20170621000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689126658 | NPI | - | NPPES |
| Provider Name | Robin Bedgood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336490986 PECOS PAC ID: 3779735741 Enrollment ID: I20121221000029 |
| Provider Name | David C Vizinat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730455825 PECOS PAC ID: 4789848375 Enrollment ID: I20160105001305 |
South Beauregard Health Center, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12186 Highway 171, Longville, LA 70652 Phone: 337-462-7106 Fax: 337-462-7479 | |
Diabetes & Obesity Control Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 176 Longville Church Rd, Longville, LA 70652 Phone: 337-564-6605 Fax: 337-433-3013 |