| The Pediatric Center | |
|
919 S 10th St Leesville LA 71446-4613 | |
| (337) 239-2207 | |
| Not Available |
| Full Name | The Pediatric Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 919 S 10th St, Leesville, Louisiana |
| Authorized Official Name and Position | Robert Crowe (PHYSICIAN) |
| Authorized Official Contact | 3372380777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Pediatric Center Po Box 130 Newllano LA 71461-0130 | The Pediatric Center 919 S 10th St Leesville LA 71446-4613 Ph: (337) 239-2207 |
| NPI Number | 1376717959 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 07/21/2020 |
| Certification Date | 07/21/2020 |
| Medicare PECOS PAC ID | 5698847317 |
|---|---|
| Medicare Enrollment ID | O20080711000328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376717959 | NPI | - | NPPES |
| 2114841 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
| Provider Name | Robert F Crowe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790774958 PECOS PAC ID: 0244233161 Enrollment ID: I20060815000401 |
| Provider Name | Steven Joseph Deville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891008462 PECOS PAC ID: 1052696010 Enrollment ID: I20170314001885 |
| Provider Name | Jennifer Lee Cooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982185799 PECOS PAC ID: 1658617907 Enrollment ID: I20190108002694 |
| Provider Name | Heather M Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598280810 PECOS PAC ID: 5890023717 Enrollment ID: I20190829002808 |
| Provider Name | Tracy Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750877825 PECOS PAC ID: 3779812219 Enrollment ID: I20190910000578 |
| Provider Name | Jana N Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447500293 PECOS PAC ID: 1658704150 Enrollment ID: I20191213000109 |
| Provider Name | Brenda Lynn Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306461660 PECOS PAC ID: 6901225705 Enrollment ID: I20200929000020 |
| Provider Name | Connor Paul Donaldson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396522298 PECOS PAC ID: 0345687141 Enrollment ID: I20240327003695 |
Molani Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 935 Verone Terrace, Leesville, LA 71446 Phone: 337-392-1545 |
Lubbos Medical Plaza Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 S Arkansas Street, Leesville, LA 71446 Phone: 337-239-7227 |
West Louisiana Family Practice - Leesville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 W Fertitta Blvd, Leesville, LA 71446 Phone: 337-392-9438 |
Allstar Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 935 Verone Ter, Suite B, Leesville, LA 71446 Phone: 337-392-1545 Fax: 337-392-1686 |
Vernon Parish Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 298 Nolan Trace Pkwy., Leesville, LA 71446 Phone: 337-365-4945 |
Calcasieu Urgent Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 W University Pkwy, Leesville, LA 71446 Phone: 337-239-2600 Fax: 337-239-2601 |