Charles J. Monier, Jr., Md, Llc | |
602 N Acadia Rd Suite 101 Thibodaux LA 70301-4847 | |
(985) 446-1200 | |
Not Available |
Full Name | Charles J. Monier, Jr., Md, Llc |
---|---|
Speciality | Internal Medicine |
Location | 602 N Acadia Rd, Thibodaux, Louisiana |
Authorized Official Name and Position | Celeste Ponvelle (ADMINISTRATOR) |
Authorized Official Contact | 9854461200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Charles J. Monier, Jr., Md, Llc Po Box 1178 Thibodaux LA 70302-1178 Ph: (800) 639-2519 | Charles J. Monier, Jr., Md, Llc 602 N Acadia Rd Suite 101 Thibodaux LA 70301-4847 Ph: (985) 446-1200 |
NPI Number | 1508910969 |
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Provider Enumeration Date | 01/23/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7416987649 |
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Medicare Enrollment ID | O20050817000888 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508910969 | NPI | - | NPPES |
2900051 | Other | LA | UNITED HEALTHCARE |
4552584 | Other | LA | AETNA |
DD942 | Other | LA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Stephen C Duplechain |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1861460982 PECOS PAC ID: 8628010295 Enrollment ID: I20050524000624 |
Provider Name | Justin Paul Toups |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1780877431 PECOS PAC ID: 5698916781 Enrollment ID: I20130801000518 |
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