| Tate Primary Care Llc | |
|
17695 Highway 190 Port Barre LA 70577-5178 | |
| (337) 308-0802 | |
| (337) 585-7899 |
| Full Name | Tate Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 17695 Highway 190, Port Barre, Louisiana |
| Authorized Official Name and Position | Eliza Tate (OWNER) |
| Authorized Official Contact | 3375857989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tate Primary Care Llc 17695 Highway 190 Port Barre LA 70577-5178 Ph: (337) 308-0802 | Tate Primary Care Llc 17695 Highway 190 Port Barre LA 70577-5178 Ph: (337) 308-0802 |
| NPI Number | 1326513383 |
|---|---|
| Provider Enumeration Date | 10/05/2018 |
| Last Update Date | 05/07/2020 |
| Medicare PECOS PAC ID | 7214271410 |
|---|---|
| Medicare Enrollment ID | O20181128002989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326513383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Eliza Tate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184010605 PECOS PAC ID: 4082918578 Enrollment ID: I20181128003138 |
Acadiana Practitioners Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 414 Saizan Avenue, Port Barre, LA 70577 Phone: 337-447-4027 Fax: 337-585-2674 | |
Port Associates Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17449 Highway 190, Port Barre, LA 70577 Phone: 337-585-5270 Fax: 337-585-7176 |