| Blainey J Nicholas, MD | |
|
602 N Acadia Rd, Thibodaux, LA 70301-4847 | |
| (504) 837-8000 | |
| Not Available |
| Full Name | Blainey J Nicholas |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 602 N Acadia Rd, Thibodaux, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306870001 | NPI | - | NPPES |
| 1974692 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 022044 (Louisiana) | Primary |
| Entity Name | Thibodaux Regional Network Development Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285658310 PECOS PAC ID: 8224011754 Enrollment ID: O20040608000132 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20040816000150 |
| 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 | Teche Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356658884 PECOS PAC ID: 0547456295 Enrollment ID: O20101122000141 |
| Entity Name | Thibodaux Regional Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013683903 PECOS PAC ID: 4486042553 Enrollment ID: O20211021001859 |
| Mailing Address | Practice Location Address |
|---|---|
| Blainey J Nicholas, MD Po Box 403, Labadieville, LA 70372-0403 Ph: (504) 376-3161 | Blainey J Nicholas, MD 602 N Acadia Rd, Thibodaux, LA 70301-4847 Ph: (504) 837-8000 |
John Jerome Tosh, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 504-837-8000 | |
Michael Straney, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 E 1st St, Thibodaux, LA 70301 Phone: 985-228-6028 | |
Chris Allen Authement, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 504-837-8000 | |
Quan Shi, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-447-5500 | |
Dr. Maxime Demers, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-447-5500 | |
Dr. Mark Philip Saigh, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-447-5500 |