Individual provider Active NPI

Marguerite B. Picou, M.D.

  • Family Medicine Physician
  • Natchitoches, LA
National Provider Identifier
1033115159
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
017739 Issued in LA
Practice address
1029 Keyser Avenue
Ste G
Natchitoches, LA 71457-6239
Phone
(318) 325-2971
Fax
(318) 356-0850
NPI assigned
Jun 23, 2005
Last updated
Oct 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 017739 LA Primary

Addresses

Primary practice location

1029 Keyser Avenue
Ste G
Natchitoches, LA 71457-6239

Mailing address

1029 Keyser Avenue
Ste G
Natchitoches, LA 71457-6239
Phone (318) 352-2971

Other identifiers 2

IdentifierTypeStateIssuer
2101803MedicaidLA
1352993MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100325000986 LA Practitioner - Family PracticePractitioner - Internal Medicine 9931235264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natchitoches Medical SpecialistsGroup PAC ID 5395889927, 3 clinicians

Practice addresses (Care Compare)

505 Royal St
Suite B
Natchitoches, LA 71457-5728
Phone (318) 352-2971

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue134
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17739LAMDClinical Social Worker
017739LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Natchitoches Medical Specialists Family Medicine CurrentSince Dec 28, 2009 Accepting new patients
Natchitoches Medical Specialists CurrentSince Dec 28, 2009 Accepting new patients
Bryan a Picou Et Al PTR Family Medicine Past Accepting new patients

Locations

1029 Keyser Ave
Natchitoches, LA 71457
Phone (318) 238-6001

1029 Keyser Ave
Ste G
Natchitoches, LA 71457
Phone (318) 325-2971

505 Royal St
Ste B
Natchitoches, LA 71457
Phone (318) 352-2971

Interoperability endpoints

  • Direct secure messaging: marguerite.picou@direct.la-hie.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1033115159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 KEYSER AVENUE",
            "address_2": "STE G",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576239",
            "telephone_number": "318-352-2971",
            "fax_number": "318-356-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 KEYSER AVENUE",
            "address_2": "STE G",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576239",
            "telephone_number": "318-325-2971",
            "fax_number": "318-356-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICOU",
        "first_name": "MARGUERITE",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "017739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2101803",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1352993",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.