| Strawberry Patch Pediatrics Llc | |
|
1054 Sw Railroad Ave Ponchatoula LA 70454-3557 | |
| (855) 869-9898 | |
| (985) 401-9898 |
| Full Name | Strawberry Patch Pediatrics Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1054 Sw Railroad Ave, Ponchatoula, Louisiana |
| Authorized Official Name and Position | Ernest Drake (CEO) |
| Authorized Official Contact | 2252787691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Strawberry Patch Pediatrics Llc 1054 Sw Railroad Ave Ponchatoula LA 70454-3557 Ph: (855) 869-9898 | Strawberry Patch Pediatrics Llc 1054 Sw Railroad Ave Ponchatoula LA 70454-3557 Ph: (855) 869-9898 |
| NPI Number | 1346895638 |
|---|---|
| Provider Enumeration Date | 08/05/2019 |
| Last Update Date | 01/16/2025 |
| Medicare PECOS PAC ID | 5294160859 |
|---|---|
| Medicare Enrollment ID | O20200109000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346895638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Primary Care Providers For A Healthy Feliciana Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19452 La 22, Ponchatoula, LA 70454 Phone: 225-683-5292 Fax: 225-683-1310 | |
Primary Care Providers For A Healthy Feliciana Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 S 3rd St, Ponchatoula, LA 70454 Phone: 225-683-5292 Fax: 225-683-1310 | |
Michael J. Kozel, Md, A.p.m.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 W Oak St, Ponchatoula, LA 70454 Phone: 985-386-5943 Fax: 985-386-8080 | |
Primary Care Providers For A Healthy Feliciana Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42530 La-445, Ponchatoula, LA 70454 Phone: 225-683-5292 Fax: 225-683-1310 | |
Primary Care Providers For A Healthy Feliciana Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40105 Dunson Rd, Ponchatoula, LA 70454 Phone: 225-683-5292 Fax: 225-683-1310 | |
Primary Care Providers For A Healthy Feliciana Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 W Ash St, Ponchatoula, LA 70454 Phone: 225-683-5292 Fax: 225-683-1310 |