Tommy Lester Fudge, MD - Thoracic Surgery (Cardiothoracic Vascular Surgery) in Thibodaux, LA

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Tommy Lester Fudge, MD is a Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Thibodaux, Louisiana. Tommy Lester Fudge is licensed to practice in Louisiana (license number 03512R) and his current practice location is 604 N Acadia Rd, Suite 409, Thibodaux, Louisiana. He can be reached at his office (for appointments etc.) via phone at (985) 449-4670.

NPI number for Tommy Lester Fudge is 1164429171 and his current mailing address is Po Box 5478, Thibodaux, Louisiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164429171.

Contact Information

Tommy Lester Fudge, MD
604 N Acadia Rd, Suite 409,
Thibodaux, LA 70301
(985) 449-4670
(985) 449-2598

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Physician's Profile

Full NameTommy Lester Fudge
GenderMale
SpecialityThoracic Surgery (cardiothoracic Vascular Surgery)
Location604 N Acadia Rd, Thibodaux, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164429171
  • Provider Enumeration Date: 07/05/2005
  • Last Update Date: 07/05/2018

Medical Identifiers

Medical identifiers for Tommy Lester Fudge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164429171NPI-NPPES
1365475MedicaidLA
P00790563OtherLARR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 03512R (Louisiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tommy Lester Fudge is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tommy Lester Fudge, MD
Po Box 5478,
Thibodaux, LA 70302-5478

Ph: (985) 449-4670		Tommy Lester Fudge, MD
604 N Acadia Rd, Suite 409,
Thibodaux, LA 70301

Ph: (985) 449-4670

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Thibodaux, LA


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