| Sunshine Pediatric And Family Clinic Llc | |
|
555 Lakes Blvd Breaux Bridge LA 70517-3240 | |
| (337) 332-3971 | |
| (337) 735-3046 |
| Full Name | Sunshine Pediatric And Family Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 555 Lakes Blvd, Breaux Bridge, Louisiana |
| Authorized Official Name and Position | Srinivasa Reddy Yerasi (PEDIATRICIAN) |
| Authorized Official Contact | 3373323971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Pediatric And Family Clinic Llc 555 Lakes Blvd Breaux Bridge LA 70517-3240 Ph: (337) 332-3971 | Sunshine Pediatric And Family Clinic Llc 555 Lakes Blvd Breaux Bridge LA 70517-3240 Ph: (337) 332-3971 |
| NPI Number | 1619618964 |
|---|---|
| Provider Enumeration Date | 04/01/2022 |
| Last Update Date | 01/20/2023 |
| Medicare PECOS PAC ID | 9436536265 |
|---|---|
| Medicare Enrollment ID | O20220517003049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619618964 | NPI | - | NPPES |
| Provider Name | Gina Lyn Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366473100 PECOS PAC ID: 1052310729 Enrollment ID: I20061206000200 |
| Provider Name | Srinivasa Reddy Yerasi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043529548 PECOS PAC ID: 8426332800 Enrollment ID: I20170302001661 |
| Provider Name | Cammie M Broussard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548799331 PECOS PAC ID: 7214294537 Enrollment ID: I20171121003470 |
| Provider Name | Mhykeisha E Evans-george |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750881116 PECOS PAC ID: 9335401116 Enrollment ID: I20180314000449 |
| Provider Name | Kiranmai Bandaru |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104159243 PECOS PAC ID: 8426452848 Enrollment ID: I20210807000111 |
| Provider Name | Breanne Roesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669108080 PECOS PAC ID: 9638546625 Enrollment ID: I20221103002474 |
St Martin Parish Government Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1555 Gary Dr, Breaux Bridge, LA 70517 Phone: 337-332-2857 Fax: 337-332-5745 | |
Med Ed Of Louisiana, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 209 Champagne Blvd., Breaux Bridge, LA 70517 Phone: 337-332-0222 Fax: 337-332-1102 | |
Jeanne D. Theriot Md Apmllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 Champagne Blvd, Breaux Bridge, LA 70517 Phone: 337-332-2242 | |
Pediatric Group Of Acadiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Lakes Blvd, Breaux Bridge, LA 70517 Phone: 337-332-3971 | |
Fuselier Healthcare Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1525 East Bridge St., Breaux Bridge, LA 70517 Phone: 337-442-1131 Fax: 337-442-1223 | |
St. Martin Hospital Community Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1555 Gary Dr Ste C, Breaux Bridge, LA 70517 Phone: 337-909-2460 | |
Jaime M. Cordova, M.d., Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1442 E Bridge St, Breaux Bridge, LA 70517 Phone: 337-332-2428 Fax: 337-332-6977 |