| Sunset Medical Clinic Llc | |
| 
					990 Napoleon Avenue Sunset LA 70584-6100  | |
| (337) 662-7290 | |
| Not Available | 
| Full Name | Sunset Medical Clinic Llc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 990 Napoleon Avenue, Sunset, Louisiana | 
| Authorized Official Name and Position | Randy James Daigle (PARTNER/MD) | 
| Authorized Official Contact | 3376627290 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sunset Medical Clinic Llc 990 Napoleon Avenue Sunset LA 70584-6100 Ph: (337) 662-7290  | Sunset Medical Clinic Llc 990 Napoleon Avenue Sunset LA 70584-6100 Ph: (337) 662-7290  | 
| NPI Number | 1093702367 | 
|---|---|
| Provider Enumeration Date | 10/03/2005 | 
| Last Update Date | 11/23/2010 | 
| Medicare PECOS PAC ID | 2062468994 | 
|---|---|
| Medicare Enrollment ID | O20050324000007 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093702367 | NPI | - | NPPES | 
| 1943142 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | Marcelo G Polanco | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1982789194 PECOS PAC ID: 8729055629 Enrollment ID: I20040911000037  | 
| Provider Name | Jimmy Legros | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1063419745 PECOS PAC ID: 4880798404 Enrollment ID: I20070409000238  | 
| Provider Name | Randy Daigle | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1558361865 PECOS PAC ID: 8628174661 Enrollment ID: I20100920000546  | 
| Provider Name | Khaled S Qaisieh | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1750842100 PECOS PAC ID: 9436487246 Enrollment ID: I20190817000006  | 
Louisiana Dysphagia Consultants, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 Summer Ridge Loop, Sunset, LA 70584 Phone: 877-787-9846 Fax: 877-787-9377  | |
Southwest Louisiana Primary Health Care Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 Church Hill St, Sunset, LA 70584 Phone: 337-942-3390  | |
Jessica Blanding Hooper Md A Professional Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Antigua Cir, Sunset, LA 70584 Phone: 337-306-4496  |