Jodie Marie Duhon Bourque, CRNA | |
1103 Kaliste Saloom Rd, Lafayette, LA 70508-5783 | |
(337) 988-5646 | |
Not Available |
Full Name | Jodie Marie Duhon Bourque |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1103 Kaliste Saloom Rd, 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 |
---|---|---|---|
1386611911 | NPI | - | NPPES |
009936312 | Medicaid | AL | |
307523100 | Medicaid | FL | |
G3933 | Other | FL | BLUE CROSS BLUE SHIELD OF |
591-84925 | Other | AL | BLUE CROSS BLUE SHIELD OF |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP07321 (Louisiana) | Primary |
Entity Name | Anesthesiology & Pain Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841287901 PECOS PAC ID: 3870490402 Enrollment ID: O20031212000737 |
Mailing Address | Practice Location Address |
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Jodie Marie Duhon Bourque, CRNA 1103 Kaliste Saloom Rd, Lafayette, LA 70508-5783 Ph: (337) 988-5646 | Jodie Marie Duhon Bourque, CRNA 1103 Kaliste Saloom Rd, Lafayette, LA 70508-5783 Ph: (337) 988-5646 |
Charles L. Papadakes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1103 Kaliste Saloom Rd, Suite 304, Lafayette, LA 70508 Phone: 337-988-5646 Fax: 337-988-4298 | |
Mr. Stephen Kyle Chauvin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 314 Youngsville Hwy, Lafayette, LA 70508 Phone: 337-706-1500 | |
Brittany Dibetta Belk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Republic Ave, Apt 6105, Lafayette, LA 70508 Phone: 504-451-4464 | |
Paula L. Simon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4200 W Congress St, Suite 3200, Lafayette, LA 70506 Phone: 337-981-3546 | |
Mr. Bowen J Landry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Saint Landry St, Lafayette, LA 70506 Phone: 337-289-2966 Fax: 337-289-2776 | |
Dexter Paul Guidry Ii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4212 W Congress St, Suite 3200, Lafayette, LA 70506 Phone: 337-981-3546 Fax: 337-988-4298 | |
Mr. Jude L Guillory, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1103 Kaliste Saloom Rd, Suite 304, Lafayette, LA 70508 Phone: 337-988-5646 Fax: 337-988-4298 |