Mr Matthew Alexander Declouet, PMHNP in Lafayette, LA

Mr Matthew Alexander Declouet, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lafayette, Louisiana. His current practice location is 302 La Rue France Ste 202, Lafayette, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 534-0971.

Mr Matthew Alexander Declouet is licensed to practice in Louisiana (license number AP08470) 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 1518342310.

Contact Information

	Mr Matthew Alexander Declouet, PMHNP
	302 La Rue France Ste 202, Lafayette, LA 70508-3133
	(337) 534-0971
	(337) 534-0974

Map and Direction

Provider's Profile

Full Name	Mr Matthew Alexander Declouet
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	302 La Rue France Ste 202, Lafayette, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518342310
Provider Enumeration Date: 07/22/2015
Last Update Date: 04/18/2023

Medicare PECOS Information:

PECOS PAC ID: 3779899927
Enrollment ID: I20150902001250

Medical Identifiers

Medical identifiers for Mr Matthew Alexander Declouet such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518342310	NPI	-	NPPES
2411608	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP08470 (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. Mr Matthew Alexander Declouet allows following entities to bill medicare on his behalf.

Entity Name	Gad Psychiatric Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073755872 PECOS PAC ID: 1355490327 Enrollment ID: O20090521000343

Entity Name	Declouet Psychiatric Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609248376 PECOS PAC ID: 0547562894 Enrollment ID: O20160105000388

Entity Name	Declouet Mental Health Solutions, Llc
Entity Type	Part B Supplier - Other
Entity Identifiers	NPI Number: 1366011884 PECOS PAC ID: 8426450313 Enrollment ID: O20210806000183

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. Mr Matthew Alexander Declouet 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
Mr Matthew Alexander Declouet, PMHNP 302 La Rue France Ste 202, Lafayette, LA 70508-3133 Ph: (337) 534-0971	Mr Matthew Alexander Declouet, PMHNP 302 La Rue France Ste 202, Lafayette, LA 70508-3133 Ph: (337) 534-0971

Reviews and Comments

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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

Mr Matthew Alexander Declouet, PMHNP - Medicare Nurse Practitioner in Lafayette, LA