| St. James Primary Care (apmc) | |
|
827 Pine St Gramercy LA 70052-3659 | |
| (225) 869-9200 | |
| (225) 869-9241 |
| Full Name | St. James Primary Care (apmc) |
|---|---|
| Speciality | Clinic/Center |
| Location | 827 Pine St, Gramercy, Louisiana |
| Authorized Official Name and Position | Anu Prasad Vellanki (M.D.) |
| Authorized Official Contact | 2258699200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. James Primary Care (apmc) Po Box 419 Gramercy LA 70052-0419 Ph: (225) 869-9200 | St. James Primary Care (apmc) 827 Pine St Gramercy LA 70052-3659 Ph: (225) 869-9200 |
| NPI Number | 1164428629 |
|---|---|
| Provider Enumeration Date | 06/21/2005 |
| Last Update Date | 06/14/2012 |
| Medicare PECOS PAC ID | 0941270961 |
|---|---|
| Medicare Enrollment ID | O20060320000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164428629 | NPI | - | NPPES |
| 5CE42 | Other | LA | MEDICARE GROUP |
| 057843586A | Other | LA | BLUE CROSS BLUE SHIELD |
| 1448800 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 110 (Louisiana) | Primary |
St. James Primary Care, Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 827 N Pine St, Gramercy, LA 70052 Phone: 225-869-9200 | |
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