| The Bonin Clinic Llc | |
|
1215 Independence Blvd 1a Zachary LA 70791-7390 | |
| (225) 570-2010 | |
| (225) 570-8573 |
| Full Name | The Bonin Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1215 Independence Blvd, Zachary, Louisiana |
| Authorized Official Name and Position | Otto Joseph Bonin (OWNER) |
| Authorized Official Contact | 2255702010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bonin Clinic Llc 1215 Independence Blvd 1a Zachary LA 70791-7390 Ph: (225) 570-2010 | The Bonin Clinic Llc 1215 Independence Blvd 1a Zachary LA 70791-7390 Ph: (225) 570-2010 |
| NPI Number | 1003280512 |
|---|---|
| Provider Enumeration Date | 11/20/2015 |
| Last Update Date | 07/08/2024 |
| Medicare PECOS PAC ID | 7012219744 |
|---|---|
| Medicare Enrollment ID | O20160112001522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003280512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP04429 (Louisiana) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Otto Joseph Bonin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558368316 PECOS PAC ID: 4284614694 Enrollment ID: I20040724000181 |
| Provider Name | Chelsey D Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356833883 PECOS PAC ID: 9234488677 Enrollment ID: I20180820000265 |
Zachary Schools Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4656 Main Street, Zachary, LA 70791 Phone: 225-654-8936 | |
Gruner Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6180 Main St, Suite B, Zachary, LA 70791 Phone: 225-658-5959 Fax: 225-658-9998 | |
Hospital Service District 1 Of East Baton Rouge Parish Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2335 Church St Ste B, Zachary, LA 70791 Phone: 225-654-3607 Fax: 225-658-2262 | |
True Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20959 Anderson Rd, Zachary, LA 70791 Phone: 225-367-8174 Fax: 225-208-1073 | |
Southeast Community Health Systems Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 E Flanacher Road, Zachary, LA 70791 Phone: 225-306-2000 Fax: 225-222-6543 | |
Ochsner Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4845 Main St, Zachary, LA 70791 Phone: 225-761-5865 |