Lacey Mathilda Godeaux, MD | |
1202 S Tyler St, Covington, LA 70433-2330 | |
(985) 892-3225 | |
(985) 892-7677 |
Full Name | Lacey Mathilda Godeaux |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 16 Years |
Location | 1202 S Tyler St, Covington, 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 |
---|---|---|---|
1720241276 | NPI | - | NPPES |
08471706 | Medicaid | MS | |
2304402 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | LL30817 (South Carolina) | Secondary |
207L00000X | Anesthesiology | 205372 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Tammany Parish Hospital | Covington, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Total Anesthesia Care Stph Llc | 0749255909 | 50 |
Entity Name | Total Anesthesia Care Stph Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669475190 PECOS PAC ID: 0749255909 Enrollment ID: O20040831000877 |
Mailing Address | Practice Location Address |
---|---|
Lacey Mathilda Godeaux, MD 120 Innwood Dr, Covington, LA 70433-9123 Ph: (985) 892-3225 | Lacey Mathilda Godeaux, MD 1202 S Tyler St, Covington, LA 70433-2330 Ph: (985) 892-3225 |
Gloria G Dunn, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4000 | |
Mario S Claros-oliva, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4000 | |
Maurice O Weilbaecher Jr., M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4000 | |
Dr. Barry Aubrey Shelby, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 19164 Highway 40, Covington, LA 70435 Phone: 985-893-7190 | |
Thomas A Anzalone, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4000 | |
Dr. Brian Curtis Ball, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1978 North Hwy 190 Ste B, Covington, LA 70433 Phone: 985-373-6827 Fax: 985-900-2178 | |
Cathy Q Zhang, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1411 Ochsner Blvd Ste C, Covington, LA 70433 Phone: 985-807-1937 |