Dr Judith Canella Blaise, MD | |
602 N Acadia Rd, Thibodaux, LA 70301-4823 | |
(985) 493-4706 | |
(985) 449-2595 |
Full Name | Dr Judith Canella Blaise |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology - Obstetrics |
Location | 602 N Acadia Rd, Thibodaux, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275578130 | NPI | - | NPPES |
1540161 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 020707 (Louisiana) | Secondary |
207VX0000X | Obstetrics & Gynecology - Obstetrics | MD.020707 (Louisiana) | Primary |
Entity Name | Dhp Of Louisiana Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013303056 PECOS PAC ID: 1658683701 Enrollment ID: O20150702001875 |
Mailing Address | Practice Location Address |
---|---|
Dr Judith Canella Blaise, MD Po Box 5237, Thibodaux, LA 70302-5237 Ph: (985) 803-0584 | Dr Judith Canella Blaise, MD 602 N Acadia Rd, Thibodaux, LA 70301-4823 Ph: (985) 493-4706 |
John H Milek, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 506 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-448-1216 Fax: 985-446-8765 | |
Mrs. Amy Roundtree Ashton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 506 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-448-1216 Fax: 985-446-8765 |