Jacob M Theriot, FNP-C in Lake Charles, LA - Medicare Nurse Practitioner

Jacob M Theriot, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lake Charles, Louisiana. His current practice location is 4345 Nelson Rd Ste 101, Lake Charles, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 480-7942.

Jacob M Theriot is licensed to practice in Louisiana (license number 210780) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548871577.

Contact Information

	Jacob M Theriot, FNP-C
	4345 Nelson Rd Ste 101, Lake Charles, LA 70605-4183
	(337) 480-7942
	(337) 480-7964

Map and Direction

Provider's Profile

Full Name	Jacob M Theriot
Gender	Male
Speciality	Nurse Practitioner - Family
Location	4345 Nelson Rd Ste 101, Lake Charles, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548871577
Provider Enumeration Date: 08/13/2020
Last Update Date: 09/26/2022

Medicare PECOS Information:

PECOS PAC ID: 8325464274
Enrollment ID: I20200821002548

Medical Identifiers

Medical identifiers for Jacob M Theriot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548871577	NPI	-	NPPES
3449382	Medicaid	LA
RN138165	Other	LA	RN
210780	Other	LA	CERTIFIED NURSE PRACTITIONER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	210780 (Louisiana)	Secondary
363LF0000X	Nurse Practitioner - Family	210780 (Louisiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob M Theriot allows following entities to bill medicare on his behalf.

Entity Name	Lake Charles Medical Services Orthopaedics Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962695361 PECOS PAC ID: 9638265697 Enrollment ID: O20071022000727

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. Jacob M Theriot is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacob M Theriot, FNP-C Po Box 122165 Dept 2165, Dallas, TX 75312-2165 Ph: (337) 494-2921	Jacob M Theriot, FNP-C 4345 Nelson Rd Ste 101, Lake Charles, LA 70605-4183 Ph: (337) 480-7942

Reviews and Comments

Nurse Practitioner Nurses in Lake Charles, LA

Ms. Victoria Lee Skold, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1510 W Mcneese, Lake Charles, LA 70605 Phone: 337-478-3177
Rebecca Ellen Godare Stein, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-436-3813 Fax: 337-439-0214
Darci Portie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 803 W Bayou Pines Dr Ste B, Lake Charles, LA 70601 Phone: 337-508-2333 Fax: 337-549-6316
Mrs. Ilea Nauts, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2770 3rd Ave Ste 120, Lake Charles, LA 70601 Phone: 337-494-4868 Fax: 337-494-4870
Mrs. Yvonne Eileen Alexander, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-494-3036
Megan Leblanc Thibodeaux, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Southwood Dr, Lake Charles, LA 70605 Phone: 337-562-2293 Fax: 337-562-0765
Mrs. Cynthia Trahan Cox, APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 730 Tallow Rd, Lake Charles, LA 70607 Phone: 337-884-4498

Jacob M Theriot, FNP-C - Medicare Nurse Practitioner in Lake Charles, LA