| Caroline Champagne Courville, MD | |
|
600 Cypress St, Sulphur, LA 70663-5052 | |
| (337) 527-6371 | |
| (337) 528-2034 |
| Full Name | Caroline Champagne Courville |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 600 Cypress St, Sulphur, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437310703 | NPI | - | NPPES |
| 2369067 | Medicaid | LA | |
| MD.207167 | Other | LA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD.207167 (Louisiana) | Primary |
| Entity Name | Lsuhsc Family Practice Center @ Lcmh |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073514493 PECOS PAC ID: 0042297558 Enrollment ID: O20040702000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Caroline Champagne Courville, MD 600 Cypress St, Sulphur, LA 70663-5052 Ph: (337) 527-6371 | Caroline Champagne Courville, MD 600 Cypress St, Sulphur, LA 70663-5052 Ph: (337) 527-6371 |
Maria Gloria Hernandez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Cypress St, Sulphur, LA 70663 Phone: 337-477-0935 Fax: 337-528-2034 | |
Jennilee Jackson Stowell, APRN,PNP-BC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Cypress St, Sulphur, LA 70663 Phone: 337-527-6371 Fax: 337-528-9616 | |
Dr. Jenny Thomas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Cypress St, Sulphur, LA 70663 Phone: 337-527-6371 Fax: 337-528-9616 | |
Sarah Elizabeth Hickey-white, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Cypress St, Sulphur, LA 70663 Phone: 502-243-5341 | |
Dr. Albert Warren Richert,jr, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Cypress St, Sulphur, LA 70663 Phone: 337-527-6371 Fax: 337-528-9616 | |
Julie D Babineaux, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Cypress St, Sulphur, LA 70663 Phone: 337-527-6371 Fax: 337-528-9616 |