Headache And Wellness Center Of Southwest Louisiana, Llc - Medicare Primary Care in Lake Charles, LA

Headache And Wellness Center Of Southwest Louisiana, Llc is a medicare enrolled primary clinic (Clinic/center) in Lake Charles, Louisiana. The current practice location for Headache And Wellness Center Of Southwest Louisiana, Llc is 803 W Bayou Pines Dr Ste B, Lake Charles, Louisiana. For appointments, you can reach them via phone at (337) 508-2333. The mailing address for Headache And Wellness Center Of Southwest Louisiana, Llc is 803 W Bayou Pines Dr Ste B, Lake Charles, Louisiana and phone number is (337) 508-2333.

Headache And Wellness Center Of Southwest Louisiana, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1043814486. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (337) 508-2333.

Contact Information

Headache And Wellness Center Of Southwest Louisiana, Llc
803 W Bayou Pines Dr Ste B
Lake Charles
LA 70601-7096
(337) 508-2333
Not Available

Primary Care Clinic Profile

Full NameHeadache And Wellness Center Of Southwest Louisiana, Llc
SpecialityClinic/Center
Location803 W Bayou Pines Dr Ste B, Lake Charles, Louisiana
Authorized Official Name and PositionDarci L Portie (OWNER)
Authorized Official Contact3375082333
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Headache And Wellness Center Of Southwest Louisiana, Llc
803 W Bayou Pines Dr Ste B
Lake Charles
LA 70601-7096

Ph: (337) 508-2333
Headache And Wellness Center Of Southwest Louisiana, Llc
803 W Bayou Pines Dr Ste B
Lake Charles
LA 70601-7096

Ph: (337) 508-2333

NPI Details:

NPI Number1043814486
Provider Enumeration Date11/25/2020
Last Update Date09/01/2021

Medicare PECOS Information:

Medicare PECOS PAC ID9931514494
Medicare Enrollment IDO20210215000283

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Medical Identifiers

Medical identifiers for Headache And Wellness Center Of Southwest Louisiana, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043814486NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Headache And Wellness Center Of Southwest Louisiana, Llc acts as a billing entity for following providers:
Provider NameDarci Landry Portie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033592886
PECOS PAC ID: 0244547305
Enrollment ID: I20150922002162

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Clinic/Center in Lake Charles, LA

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Cardiovascular Outpatient Center Of Southwest Louisiana
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Phone: 337-602-9991    
Washington-marion Sbhc
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Medicare: Not Enrolled in Medicare
Practice Location: 2802 Pineview St, Lake Charles, LA 70615
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Imperial Health, Llp
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Medicare: Medicare Enrolled
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Phone: 337-433-8400    Fax: 337-312-6708
Kndl Partners
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