Cory D Theriot, APRN | |
315 Rue Louis Xiv Bldg B, Lafayette, LA 70508-5734 | |
(337) 269-9777 | |
Not Available |
Full Name | Cory D Theriot |
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Gender | Male |
Speciality | Nurse Practitioner - Acute Care |
Location | 315 Rue Louis Xiv Bldg B, Lafayette, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568485837 | NPI | - | NPPES |
1372986 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | AP04897 (Louisiana) | Primary |
Entity Name | Cardiology Specialists Of Acadiana, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881863553 PECOS PAC ID: 5799971834 Enrollment ID: O20110819000372 |
Mailing Address | Practice Location Address |
---|---|
Cory D Theriot, APRN 11150 Harris Ln, Maurice, LA 70555-3629 Ph: (337) 344-4977 | Cory D Theriot, APRN 315 Rue Louis Xiv Bldg B, Lafayette, LA 70508-5734 Ph: (337) 269-9777 |
Lezette G. Vienne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6000 | |
Michael Stephen Robichaux, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 443 Heymann Blvd Ste B, Lafayette, LA 70503 Phone: 337-289-8429 Fax: 337-289-8431 | |
Mrs. Brandi Rene Boutte, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508 Phone: 337-988-5646 Fax: 337-769-0031 | |
Quartivia Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 General Gardner Ave, Lafayette, LA 70501 Phone: 337-232-9457 | |
Mrs. Jamila Anderson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7991 | |
Erica Miller Piazza, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 309 Settlers Trace Blvd Ste 100, Lafayette, LA 70508 Phone: 337-989-7272 | |
Marshall Quinn Coco, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506 Phone: 337-988-1585 Fax: 337-988-1586 |