| |
931 N Canal Blvd Thibodaux LA 70301-8095 | |
(985) 446-6381 | |
(985) 446-5992 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 931 N Canal Blvd, Thibodaux, Louisiana |
Authorized Official Name and Position | Gayathri Talluri (OWNER) |
Authorized Official Contact | 9854140682 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1214 Cardinal Dr Thibodaux LA 70301-4815 Ph: (985) 446-6381 | 931 N Canal Blvd Thibodaux LA 70301-8095 Ph: (985) 446-6381 |
NPI Number | 1083727838 |
---|---|
Provider Enumeration Date | 08/16/2006 |
Last Update Date | 07/07/2022 |
Medicare PECOS PAC ID | 6608817077 |
---|---|
Medicare Enrollment ID | O20100218000799 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083727838 | NPI | - | NPPES |
2152858 | Medicaid | LA |
Provider Name | Chantel M Charpentier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821086133 PECOS PAC ID: 4486628302 Enrollment ID: I20040825000538 |
Provider Name | Gayathri Talluri |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699792564 PECOS PAC ID: 9032253752 Enrollment ID: I20100218000852 |
Provider Name | Christy L Hebert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013144559 PECOS PAC ID: 1850569450 Enrollment ID: I20110726000896 |
Provider Name | Venkata S Devabhaktuni |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1891734752 PECOS PAC ID: 0941261374 Enrollment ID: I20191010001345 |
Provider Name | Tina Kauderer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366763468 PECOS PAC ID: 4688960610 Enrollment ID: I20210607002767 |
Provider Name | Michelle Guidry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699424523 PECOS PAC ID: 8921487307 Enrollment ID: I20220615000002 |
Bayou Healthcare Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 E 11th St., Thibodaux, LA 70301 Phone: 985-228-6223 | |
Family Doctor Clinic Drs Harris & Magee A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 S Acadia Rd, Thibodaux, LA 70301 Phone: 985-446-2680 | |
Life Coast Community Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1101 Audubon Ave Ste S1, Thibodaux, LA 70301 Phone: 985-492-6170 | |
Texas Digestive Disease Consultants, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 764 North Acadia Road, Suite A, Thibodaux, LA 70301 Phone: 985-446-1958 Fax: 985-446-0121 | |