Champ Phuphanich, FNP | |
1990 Industrial Blvd, Houma, LA 70363-7055 | |
(985) 868-9300 | |
Not Available |
Full Name | Champ Phuphanich |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 1990 Industrial Blvd, Houma, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023765427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 224407 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tulane Medical Center | New orleans, LA | Hospital |
Ochsner St Mary | Morgan city, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Independence Emergency Group Llc | 4284759325 | 16 |
St Mary Emergency Group Llc | 7810926995 | 15 |
Entity Name | South Louisiana Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942301379 PECOS PAC ID: 8527968650 Enrollment ID: O20040113000589 |
Entity Name | St Mary Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235108499 PECOS PAC ID: 7810926995 Enrollment ID: O20050809000607 |
Entity Name | Independence Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528384773 PECOS PAC ID: 4284759325 Enrollment ID: O20100914000327 |
Entity Name | Bayoumd Urgent Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306628508 PECOS PAC ID: 6507217452 Enrollment ID: O20240104004400 |
Mailing Address | Practice Location Address |
---|---|
Champ Phuphanich, FNP 1990 Industrial Blvd, Houma, LA 70363-7055 Ph: () - | Champ Phuphanich, FNP 1990 Industrial Blvd, Houma, LA 70363-7055 Ph: (985) 868-9300 |
Christy L Hebert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8120 Main St Ste 301, Houma, LA 70360 Phone: 985-851-6653 Fax: 985-872-1420 | |
Mr. Philip Andrew Lottinger Jr., PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 235 Civic Center Blvd, Houma, LA 70360 Phone: 985-851-0162 | |
Caroline Hebert, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1297 Saint Charles St Ste H, Houma, LA 70360 Phone: 985-665-1020 | |
Deeanna Bennett Beaver, APRN, NP. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 165 Corporate Drive, Houma, LA 70360 Phone: 985-851-1001 Fax: 985-851-1017 | |
Laina Leboeuf, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 Aubrey Drive, Houma, LA 70360 Phone: 985-868-7786 Fax: 985-868-7786 | |
Shawn M Keller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 235 Civic Center Blvd, Houma, LA 70360 Phone: 225-333-2020 |