Dr Jason Bourque, MD | |
120 Rue Louis Xiv, Lafayette, LA 70508-5739 | |
(337) 769-7779 | |
Not Available |
Full Name | Dr Jason Bourque |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 15 Years |
Location | 120 Rue Louis Xiv, Lafayette, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205060175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 10033777 (Texas) | Secondary |
208800000X | Urology | Q3854 (Texas) | Secondary |
208800000X | Urology | 307858 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lafayette General Medical Center | Lafayette, LA | Hospital |
Acadia General Hospital | Crowley, LA | Hospital |
Our Lady Of Lourdes Regional Medical Center, Inc | Lafayette, LA | Hospital |
Park Place Surgical Hospital | Lafayette, LA | Hospital |
Jennings American Legion Hospital | Jennings, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Urology Llc | 5597833772 | 24 |
Entity Name | Southern Urology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740441955 PECOS PAC ID: 5597833772 Enrollment ID: O20081002000001 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason Bourque, MD 120 Rue Louis Xiv, Lafayette, LA 70508-5739 Ph: (337) 769-7779 | Dr Jason Bourque, MD 120 Rue Louis Xiv, Lafayette, LA 70508-5739 Ph: (337) 769-7779 |
Dr. Charles Bruce Williams Jr., M.D. Urology Medicare: Medicare Enrolled Practice Location: 913 S College Rd Ste 203, Lafayette, LA 70503 Phone: 337-280-4496 | |
Scott M Neusetzer, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1016 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-233-6665 Fax: 337-233-0327 | |
Dr. William Bradley Roth, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1000 W Pinhook Rd, Suite 304, Lafayette, LA 70503 Phone: 337-289-9155 Fax: 337-289-9585 | |
Jeffrey J Thibodeaux, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 200-a Energy Parkway, Suite 209, Lafayette, LA 70508 Phone: 337-233-9546 Fax: 337-237-5723 | |
Dr. Alayna Dauzat Dunbar, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 120 Rue Louis Xiv, Lafayette, LA 70508 Phone: 337-233-6665 | |
Jeannette M Chassaignac, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1016 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-233-6665 Fax: 337-233-0327 |