Central Stat Care is a medicare enrolled primary clinic (General Practice) in Baton Rouge, Louisiana. The current practice location for Central Stat Care is 11055 Shoe Creek Dr, Baton Rouge, Louisiana. For appointments, you can reach them via phone at (225) 261-4493. The mailing address for Central Stat Care is Po Box 14149, Baton Rouge, Louisiana and phone number is (225) 924-9827.
Central Stat Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1467736165. 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 (225) 261-4493.
Contact Information
| Central Stat Care | |
| 11055 Shoe Creek Dr Baton Rouge LA 70818-4022 | |
| (225) 261-4493 | |
| Not Available |
Map and Direction
Primary Care Clinic Profile
| Full Name | Central Stat Care |
|---|---|
| Speciality | General Practice |
| Location | 11055 Shoe Creek Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Bryan W Barrett (OWNER) |
| Authorized Official Contact | 2252614493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|---|
| Central Stat Care Po Box 14149 Baton Rouge LA 70898-4149 Ph: (225) 924-9827 | Central Stat Care 11055 Shoe Creek Dr Baton Rouge LA 70818-4022 Ph: (225) 261-4493 |
NPI Details:
| NPI Number | 1467736165 |
|---|---|
| Provider Enumeration Date | 09/29/2011 |
| Last Update Date | 10/19/2011 |
Medicare PECOS Information:
| Medicare PECOS PAC ID | 6103091624 |
|---|---|
| Medicare Enrollment ID | O20111213000119 |
Medical Identifiers
Medical identifiers for Central Stat Care such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467736165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Central Stat Care acts as a billing entity for following providers:
| Provider Name | Melissa R Barrett |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245329325 PECOS PAC ID: 7315846896 Enrollment ID: I20040105000045 |
| Provider Name | Rebecca J Cranford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134475429 PECOS PAC ID: 1153570668 Enrollment ID: I20120927000034 |
| Provider Name | Jeremy S Dedeaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104233923 PECOS PAC ID: 3173745189 Enrollment ID: I20141106001475 |
| Provider Name | Chenika H Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265850572 PECOS PAC ID: 3870817117 Enrollment ID: I20150115001035 |
| Provider Name | Justin J Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205293941 PECOS PAC ID: 6507162310 Enrollment ID: I20160303002569 |
| Provider Name | Keturiah N Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952759193 PECOS PAC ID: 9133414675 Enrollment ID: I20160823003108 |
| Provider Name | Mallory S Bankston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174938211 PECOS PAC ID: 7416242524 Enrollment ID: I20160827000167 |
| Provider Name | Elizabeth A Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427453745 PECOS PAC ID: 8224334271 Enrollment ID: I20161122001683 |
| Provider Name | Bill Cranford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184074502 PECOS PAC ID: 0143501940 Enrollment ID: I20170110003305 |
| Provider Name | Frances V Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740655000 PECOS PAC ID: 1658642533 Enrollment ID: I20170810003500 |
| Provider Name | Rosaline Osu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235653890 PECOS PAC ID: 3072885987 Enrollment ID: I20170826000173 |
| Provider Name | Crissy D Devall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598250870 PECOS PAC ID: 4284983164 Enrollment ID: I20180827001518 |
| Provider Name | Christopher B Staggers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184283236 PECOS PAC ID: 8820327778 Enrollment ID: I20190903001064 |
| Provider Name | Rebekah J Schmieder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285293464 PECOS PAC ID: 0749519494 Enrollment ID: I20190906000069 |
| Provider Name | Kamaria Liani Blakes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811496730 PECOS PAC ID: 4789916032 Enrollment ID: I20191106000716 |
| Provider Name | Angela D Coss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356974265 PECOS PAC ID: 9739518200 Enrollment ID: I20200403001580 |
| Provider Name | Rebekah E Rayner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306361928 PECOS PAC ID: 3971932047 Enrollment ID: I20200413000388 |
| Provider Name | Tram Fruge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306457379 PECOS PAC ID: 3173940590 Enrollment ID: I20200901000050 |
| Provider Name | Rebecca Chair Muzika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396318978 PECOS PAC ID: 6204226111 Enrollment ID: I20211208003208 |
| Provider Name | Ashton L Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568196616 PECOS PAC ID: 4880078336 Enrollment ID: I20220831003603 |
| Provider Name | Deanna N Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497473268 PECOS PAC ID: 6204291412 Enrollment ID: I20230421002631 |
| Provider Name | Angela D Kennerly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275249088 PECOS PAC ID: 8527424001 Enrollment ID: I20230525003279 |
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