Shantell Reaux Thibodeaux, is a
Speech-language Pathologist based in Erath, Louisiana. Shantell Reaux Thibodeaux is licensed to practice in Louisiana (license number 4452) and her current practice location is
7608 Lake Wood Dr, Erath, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(337) 519-5549.
NPI number for Shantell Reaux Thibodeaux is 1457845992 and her current mailing address is 7608 Lake Wood Dr, Erath, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457845992.
Healthcare Provider's Profile
Full Name | Shantell Reaux Thibodeaux |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 7608 Lake Wood Dr, Erath, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457845992
- Provider Enumeration Date: 06/19/2018
- Last Update Date: 06/19/2018
Medical Identifiers
Medical identifiers for Shantell Reaux Thibodeaux such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457845992 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 4452 (Louisiana) | Primary |
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. Shantell Reaux Thibodeaux is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shantell Reaux Thibodeaux, 7608 Lake Wood Dr, Erath, LA 70533-5452 Ph: () - | Shantell Reaux Thibodeaux, 7608 Lake Wood Dr, Erath, LA 70533-5452 Ph: (337) 519-5549 |
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