Verna Family Medicine

Organization Active NPI Family Medicine Physician · Ball, LA

NPI 1013301100 · NPPES record last updated Mar 26, 2015

Key facts

NPI
1013301100
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
VERNA FAMILY MEDICINE
Practice address
6118 Monroe Hwy
Ball, LA 71405-3251
Phone
(318) 640-4949
Fax
(318) 640-4962
NPI assigned
Mar 26, 2015
Organization subpart
No

Authorized official

Name
Dr. Rajinder Verma, M.D.
Title
M.D.
Phone
(318) 640-4949

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20150513002238 LA Part B Supplier - Clinic/Group Practice 6507186657 Receives reassigned benefits from 1 practitioner
Practice locations: Ball, LA

National Provider Directory

Locations

6118 Monroe Hwy
Ball, LA 71405
Phone (318) 640-4949

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

6118 Monroe Hwy
Ball, LA 71405-3251

Mailing address

6118 Monroe Hwy
Ball, LA 71405-3251
Phone (318) 640-4949

Other providers in Ball, LA

All providers in Ball, LA · Family Medicine Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.