| 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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