Southcare Medical LLC
A Medicare group practice based in Abbeville, LA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4789808197), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4789808197
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- LA
- Enrollments
- 2
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20140604002027 | LA | Part B Supplier - Clinic/Group Practice | 1215294830 |
| O20141029000111 | LA | Part A Provider - Rural Health Clinic | 1215294830 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Southcare Medical LLC
- Rural Health Clinic/Center
- Abbeville, LA
- NPI 1215294830
-
Southcare Medical LLC
- Primary Care Clinic/Center
- Lafayette, LA
- NPI 1093170433
Practice locations
- Abbeville, LA2
- Lafayette, LA1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).
-
Simone Adel Pitre, C-NP
- Primary Care Nurse Practitioner
- Abbeville, LA
- NPI 1437160231
-
Summer Lynn Smith, APRN
- Family Nurse Practitioner
- Delcambre, LA
- NPI 1295339679
-
Budi N Sugeng, MD
- Pediatrics Physician
- Abbeville, LA
- NPI 1649303330
Sources for this page
- 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.