| Wellspring Wound Care, Llc | |
|
4023 Ambassador Caffery Pkwy Ste 520 Lafayette LA 70503-5268 | |
| (337) 568-4325 | |
| (337) 446-8776 |
| Full Name | Wellspring Wound Care, Llc |
|---|---|
| Speciality | General Practice |
| Location | 4023 Ambassador Caffery Pkwy Ste 520, Lafayette, Louisiana |
| Authorized Official Name and Position | Leonard Carl Rainey (PRESIDENT/COO) |
| Authorized Official Contact | 3372785605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Wound Care, Llc 4023 Ambassador Caffery Pkwy Ste 520 Lafayette LA 70503-5268 Ph: (337) 568-4325 | Wellspring Wound Care, Llc 4023 Ambassador Caffery Pkwy Ste 520 Lafayette LA 70503-5268 Ph: (337) 568-4325 |
| NPI Number | 1508629122 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 05/20/2025 |
| Medicare PECOS PAC ID | 0143660217 |
|---|---|
| Medicare Enrollment ID | O20240507000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508629122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Zebediah A Stearns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487718128 PECOS PAC ID: 8729982202 Enrollment ID: I20031125000864 |
| Provider Name | Racheal Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033522131 PECOS PAC ID: 3274750054 Enrollment ID: I20140819001882 |
| Provider Name | Chad Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821487380 PECOS PAC ID: 5193040368 Enrollment ID: I20150210001023 |
| Provider Name | Steven J Kenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568912608 PECOS PAC ID: 8628353414 Enrollment ID: I20170317000238 |
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