| Dylan Paul Camardelle, | |
|
4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | |
| (337) 470-5920 | |
| Not Available |
| Full Name | Dylan Paul Camardelle |
|---|---|
| Gender | Male |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 4 Years |
| Location | 4704 Ambassador Caffery Pkwy, Lafayette, 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 |
|---|---|---|---|
| 1972380699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86176044 (Louisiana) | Secondary |
| 133V00000X | Dietitian, Registered | 3489 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lourdes Physician Group Llc | 7214177757 | 157 |
| Provider Name | Lourdes Physician Group LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437405883 PECOS PAC ID: 7214177757 Enrollment ID: O20130705000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Dylan Paul Camardelle, 4704 Ambassador Caffery Pkwy Fl 3, Lafayette, LA 70508-6908 Ph: Not Available | Dylan Paul Camardelle, 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 Ph: (337) 470-5920 |
Alicia Ruddock Rourk, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6113 Fax: 337-261-6660 |
Miss Carmen Miller Hebert, MS, RDN, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 4630 Ambassador Caffery Pkwy Ste 206, Lafayette, LA 70508 Phone: 337-470-5239 |
Desiree Kern, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 213 Rue Fontaine, Lafayette, LA 70508 Phone: 337-269-9777 |
C Taylor Nutrition Therapy Dietitian Medicare: Medicare Enrolled Practice Location: 211 Bon Mange Cir, Lafayette, LA 70506 Phone: 337-739-9456 |
Mrs. Jessica Person Eckert, MPH, LDN, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 209 Marquette Dr, Lafayette, LA 70503 Phone: 337-296-2640 |
Mrs. Shellie Johnson Dore, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6113 Fax: 337-261-6660 |
Mrs. Amy Staggs, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 101 W Farrel Rd Ste 101, Lafayette, LA 70508 Phone: 337-534-1740 Fax: 337-534-0376 |