Southwest Louisiana Primary Health Care Center, Inc
A Medicare group practice based in Ville Platte, LA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8628987682), with 12 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8628987682
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- LA
- Enrollments
- 5
- Group size
- 9 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 5
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20170630001104 | LA | Part A Provider - Federally Qualified Health Center (FQHC) | 1609120682 |
| O20110607000427 | LA | Part B Supplier - Clinic/Group Practice | 1093843187 |
| O20181130002328 | LA | Part A Provider - Federally Qualified Health Center (FQHC) | 1003042698 |
| O20030409000000 | LA | Part A Provider - Federally Qualified Health Center (FQHC) | 1093843187 |
| O20041214000920 | LA | Part B Supplier - Clinic/Group Practice | 1093843187 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Southwest Louisiana Primary Health Care Center Inc
dba Evangeline Family Medicine Center
- Federally Qualified Health Center (FQHC)
- Ville Platte, LA
- NPI 1003042698
-
Southwest Louisiana Primary Health Care Center Inc
dba Northside Community Health Center
- Federally Qualified Health Center (FQHC)
- Lafayette, LA
- NPI 1609120682
-
Southwest Louisiana Primary Health Care Center, Inc
- Community Health Clinic/Center
- Opelousas, LA
- NPI 1093843187
Practice locations
- Opelousas, LA2
- Ville Platte, LA2
- Lafayette, LA1
Clinicians 12
Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (9).
-
Brad Dwayne Bertrand, FNP
- Family Nurse Practitioner
- San Francisco, CA
- NPI 1063842920
-
Christine Boutte
- Family Nurse Practitioner
- Lafayette, LA
- NPI 1285049759
-
Tracy P Broussard, F.N.P.
- Family Nurse Practitioner
- Opelousas, LA
- NPI 1619970308
-
Sondra Cummings Celestine, NURSE PRACTITIONER
- Family Nurse Practitioner
- Opelousas, LA
- NPI 1730601915
-
Ashley Patrice Doucette, M.D.
- Psychiatry Physician
- Opelousas, LA
- NPI 1437392404
-
Leone Elliott, MD
- Family Medicine Physician
- Baton Rouge, LA
- NPI 1609805381
-
Leon Dwayne Gallow, FNP
- Family Nurse Practitioner
- Opelousas, LA
- NPI 1568554897
-
Darin Lastrapes, ARNP
- Family Nurse Practitioner
- Opelousas, LA
- NPI 1285034884
-
Nikita Logan
- Clinical Social Worker
- Lafayette, LA
- NPI 1124484274
-
Marcia Smith, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Crowley, LA
- NPI 1649823998
-
Nikki L Toussaint, FNP
- Family Nurse Practitioner
- Basile, LA
- NPI 1962813014
-
Melvin Maurice Trotter, D.P.M.,M.S.
- Foot & Ankle Surgery Podiatrist
- Baton Rouge, LA
- NPI 1568565679
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.