Marcelo G Polanco (NPI# 1982789194, PAC ID# 8729055629) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1982789194 |
| PAC ID by PECOS | 8729055629 |
| Professional Enrollment ID | I20040911000037 |
| Full Name | Marcelo G Polanco |
| Organization Legal Name | SUNSET MEDICAL CLINIC LLC |
| Address |
990 Napoleon Ave Sunset LA 70584-6100 |
| Phone Number | 3376627290 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2062468994 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190017 | OPELOUSAS GENERAL HEALTH SYSTEM |
| 190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 990 Napoleon Ave, Sunset, LA 70584-6100 | 3376627290 | SUNSET MEDICAL CLINIC LLC |
| Organization Legal Name | SUNSET MEDICAL CLINIC LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy Daigle | Family Medicine | Sunset Medical Clinic LLC | 990 Napoleon Ave, Sunset, LA 70584-6100 |
| Anecia Y Marshall | Nurse Practitioner | Sunset Medical Clinic LLC | 990 Napoleon Ave, Sunset, LA 70584-6100 |
| John S Sibille | Family Practice | Sunset Medical Clinic LLC | 990 Napoleon Ave, Sunset, LA 70584-6100 |
| Street Address |
990 NAPOLEON AVE |
| City | SUNSET |
| State | LA |
| Zip | 70584-6100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy Daigle | Family Medicine | Sunset Medical Clinic LLC | 990 Napoleon Ave, Sunset, LA 70584-6100 |
| Anecia Y Marshall | Nurse Practitioner | Sunset Medical Clinic LLC | 990 Napoleon Ave, Sunset, LA 70584-6100 |
| John S Sibille | Family Practice | Sunset Medical Clinic LLC | 990 Napoleon Ave, Sunset, LA 70584-6100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dina Broussard | Clinical Social Worker | 119 Edward Dr, Sunset, LA 70584-5429 | |
| Georgette Guillory | Nurse Practitioner | Fleur-de-lis Community Health, Inc | 376 Main St, Cankton, LA 70584-5920 |
| Angela Neely | Nurse Practitioner | Fleur-de-lis Community Health, Inc | 376 Main St, Cankton, LA 70584-5920 |
| Michelle Claire Sonnier | Nurse Practitioner | Fleur-de-lis Community Health, Inc | 376 Main St, Cankton, LA 70584-5920 |
| Cal A Domingue | Physician Assistant | Louisiana Cardiovascular and Limb Salvage Center, Apmc | 166 Oak Tree Park Dr, Suite Ab, Sunset, LA 70584-6135 |
| Cynthia D Labiche | Nurse Practitioner | 117 Marie St, Sunset, LA 70584-6148 |
| City | SUNSET |
| Zip Code | 70584 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SUNSET + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Marcelo G Polanco.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.