Southside Family Clinic LLC

PAC ID

3779859392The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice

Enrolled in

LA

Enrollments

4

Group size

5 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

6In 3 places

Enrollment records 4

These NPI records belong to the same enrolled organization. Each has its own page.

• Southside Family Clinic LLC

  dba Delcambre Family Clinic

  • Rural Health Clinic/Center
  • Delcambre, LA
  • NPI 1073109930
• Southside Family Clinic LLC

  dba Arnaudville Family Clinic

  • Rural Health Clinic/Center
  • Arnaudville, LA
  • NPI 1164112074
• Southside Family Clinic LLC

  • Rural Health Clinic/Center
  • Abbeville, LA
  • NPI 1720508955

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (5).

• Victoria Jaide Bergeron, APRN-CNP

  • Family Nurse Practitioner
  • Arnaudville, LA
  • NPI 1891476859
• John Dies, N.P.

  • Family Nurse Practitioner
  • Abbeville, LA
  • NPI 1477971083
• Angela V Huval, LCSW

  • Clinical Social Worker
  • Lafayette, LA
  • NPI 1639489487
• Matthew Tyler Khosropour

  • Family Nurse Practitioner
  • New Iberia, LA
  • NPI 1790287746
• Taylor Meyers Laporte, FNP

  • Family Nurse Practitioner
  • Abbeville, LA
  • NPI 1336826361
• Simmie Soileau, NP

  • Family Nurse Practitioner
  • New Iberia, LA
  • NPI 1992812374
• Christopher Brett Venable, DC

  • Chiropractor
  • Lafayette, LA
  • NPI 1376660639

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.