Jeanne Dauphine Theriot, MD | |
112 Champagne Blvd, Breaux Bridge, LA 70517-3852 | |
(337) 332-2242 | |
(337) 332-4074 |
Full Name | Jeanne Dauphine Theriot |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 21 Years |
Location | 112 Champagne 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 |
---|---|---|---|
1093763625 | NPI | - | NPPES |
1062472 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 200073 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Nursing Specialties | Lafayette, LA | Home health agency |
Lourdes Home Health | Lafayette, LA | Home health agency |
St Martin Hospital | Breaux bridge, LA | Hospital |
Lafayette General Medical Center | Lafayette, LA | Hospital |
Our Lady Of Lourdes Regional Medical Center, Inc | Lafayette, LA | Hospital |
Entity Name | Jeanne D Theriot Md Apm Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174581342 PECOS PAC ID: 9234239815 Enrollment ID: O20070711000793 |
Mailing Address | Practice Location Address |
---|---|
Jeanne Dauphine Theriot, MD 112 Champagne Blvd, Breaux Bridge, LA 70517-3852 Ph: (337) 332-2242 | Jeanne Dauphine Theriot, MD 112 Champagne Blvd, Breaux Bridge, LA 70517-3852 Ph: (337) 332-2242 |
Dr. Deidre L. Stelly, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 548 Lakes Blvd, Breaux Bridge, LA 70517 Phone: 337-332-0661 Fax: 337-332-0651 | |
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 |