Dr Deidre L Stelly, MD | |
548 Lakes Blvd, Breaux Bridge, LA 70517-3248 | |
(337) 332-0661 | |
(337) 332-0651 |
Full Name | Dr Deidre L Stelly |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 30 Years |
Location | 548 Lakes Blvd, Breaux Bridge, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144218868 | NPI | - | NPPES |
1677655 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 022380 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospital & Clinics | Lafayette, LA | Hospital |
Lafayette General Medical Center | Lafayette, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lsuhn Billing Llc | 0446337802 | 173 |
Entity Name | Lsuhn Billing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992975775 PECOS PAC ID: 0446337802 Enrollment ID: O20080409000372 |
Mailing Address | Practice Location Address |
---|---|
Dr Deidre L Stelly, MD Po Box 84460, Baton Rouge, LA 70884-4460 Ph: (225) 526-0018 | Dr Deidre L Stelly, MD 548 Lakes Blvd, Breaux Bridge, LA 70517-3248 Ph: (337) 332-0661 |
Jeanne Dauphine Theriot, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Champagne Blvd, Breaux Bridge, LA 70517 Phone: 337-332-2242 Fax: 337-332-4074 | |
Dr. Jahanyar Khorsandi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 Champagne Blvd., Breaux Bridge, LA 70517 Phone: 337-332-0222 Fax: 337-332-1102 | |
Dr. Jacob James Sandoz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Champagne Blvd, Breaux Bridge, LA 70517 Phone: 337-332-2178 | |
Dr. Alan P. Broussard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100b Champagne Blvd, Breaux Bridge, LA 70517 Phone: 337-261-5151 | |
Dr. Warren J. Degatur Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 Champagne Blvd, Suite A, Breaux Bridge, LA 70517 Phone: 337-332-3500 |