Dr Colleen C Sicard, MD | |
200 Beaullieu Dr Ste 7, Lafayette, LA 70508-7230 | |
(337) 366-8616 | |
(337) 366-8133 |
Full Name | Dr Colleen C Sicard |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 200 Beaullieu Dr Ste 7, Lafayette, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023300332 | NPI | - | NPPES |
2144588 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 207266 (Louisiana) | Primary |
Entity Name | Louisiana State University Health Sciences Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417992249 PECOS PAC ID: 6103730908 Enrollment ID: O20031208000275 |
Mailing Address | Practice Location Address |
---|---|
Dr Colleen C Sicard, MD 200 Beaullieu Dr Ste 7, Lafayette, LA 70508-7230 Ph: (337) 366-8616 | Dr Colleen C Sicard, MD 200 Beaullieu Dr Ste 7, Lafayette, LA 70508-7230 Ph: (337) 366-8616 |
Dr. Sheung Man Alexander Sin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 615-322-5000 | |
Karl M. Valcourt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-2605 | |
Neva Ducote Seago, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4600 Ambassador Caffery Pkwy, Women's And Children's Hospital, Lafayette, LA 70508 Phone: 337-521-9100 | |
Dr. Virginia B Coreil, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5000 Ambassador Caffery Pkwy Bldg 12, Lafayette, LA 70508 Phone: 337-470-3150 Fax: 337-470-3161 | |
Dr. Ebenezer S. Bediako, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-5500 Fax: 337-521-9166 | |
Mr. Cong T Vo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 107 Montrose Avenue, Suite D, Lafayette, LA 70503 Phone: 337-981-9316 Fax: 337-981-8303 |