Dr Victor Gaston Theriault, MD | |
712 Willis Ave, Bogalusa, LA 70427-3004 | |
(985) 732-4853 | |
(985) 735-8883 |
Full Name | Dr Victor Gaston Theriault |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 49 Years |
Location | 712 Willis Ave, Bogalusa, 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 |
---|---|---|---|
1396742318 | NPI | - | NPPES |
1181251 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 014544 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jackson Hospital & Clinic Inc | Montgomery, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Health Services Inc | 1557324811 | 25 |
Health Services Inc | 1557324811 | 25 |
Entity Name | Jeffcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518383785 PECOS PAC ID: 7911125513 Enrollment ID: O20140827000480 |
Mailing Address | Practice Location Address |
---|---|
Dr Victor Gaston Theriault, MD 712 Willis Ave, Bogalusa, LA 70427-3004 Ph: (985) 732-4853 | Dr Victor Gaston Theriault, MD 712 Willis Ave, Bogalusa, LA 70427-3004 Ph: (985) 732-4853 |
Dr. Anthony Jude Palazzo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Avenue F, Bogalusa, LA 70427 Phone: 985-732-1568 Fax: 985-732-4458 | |
Dr. Steven Paul Ogden, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 Avenue F, Bogalusa, LA 70427 Phone: 985-732-0058 | |
David Jeffrey Mohr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 Avenue F, Bogalusa, LA 70427 Phone: 985-732-0058 Fax: 985-732-0019 | |
Dr. C Bryan Miller, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 433 Plaza St, Bogalusa, LA 70427 Phone: 985-730-6700 Fax: 985-730-6713 | |
John R. Tucker Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 433 Plaza St, Bogalusa, LA 70427 Phone: 985-730-6705 Fax: 985-730-7183 | |
Dr. Golam Daud Noaz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 617 Avenue F, Bogalusa, LA 70427 Phone: 985-545-1070 Fax: 985-545-1071 |