| 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  |