ALLEGIANCE MEDICAL CLINIC OF DEQUINCY LLC
NPI 1073267076
Clinic/Center - Rural Health in Dequincy, LA
About Allegiance Medical Clinic Of Dequincy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALLEGIANCE MEDICAL CLINIC OF DEQUINCY LLC (NPI 1073267076) is a healthcare organization registered as a rural health in Dequincy, Louisiana and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through April 19, 2028 and lists Renee Michelle Willis, Clinic Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Allegiance Medical Clinic Of Dequincy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Allegiance Medical Clinic Of Dequincy LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 19D0944746
Allegiance Medical Clinic Of Dequincy · Dequincy, LAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Allegiance Medical Clinic Of Dequincy LLC's NPI number?
The NPI number for Allegiance Medical Clinic Of Dequincy LLC is 1073267076. It was assigned to this organization in the NPPES registry on February 8, 2022.
Where is Allegiance Medical Clinic Of Dequincy LLC located?
Allegiance Medical Clinic Of Dequincy LLC is located at 601 W 4th St, Dequincy, LA 70633. The listed phone number is (337) 786-6161.
What is Allegiance Medical Clinic Of Dequincy LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Allegiance Medical Clinic Of Dequincy LLC enrolled in Medicare?
Yes. Allegiance Medical Clinic Of Dequincy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Allegiance Medical Clinic Of Dequincy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Allegiance Medical Clinic Of Dequincy LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Allegiance Medical Clinic Of Dequincy LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D0944746) is associated with this NPI, valid through April 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Allegiance Medical Clinic Of Dequincy LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Allegiance Medical Clinic Of Dequincy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Allegiance Medical Clinic Of Dequincy LLC was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Allegiance Medical Clinic Of Dequincy Llc · NPI 1073267076
Rural Health organization in Dequincy, Louisiana. Organization record, active in the CMS NPPES registry since February 8, 2022.
## Identity
- **NPI:** 1073267076 (Entity type: Organization)
- **Enumerated:** February 8, 2022
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Renee Willis, CLINIC MANAGER
## Practice location
- **Address:** 601 W 4TH ST, Dequincy, LA 70633-3301
- **Phone:** (337) 786-6161 · **Fax:** (337) 786-7999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073267076) · Data from the CMS NPPES public registry.