| Daniel R Bourque, MD | |
|
435 Heymann Blvd, Lafayette, LA 70503-2616 | |
| (337) 234-3344 | |
| (337) 234-3352 |
| Full Name | Daniel R Bourque |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 44 Years |
| Location | 435 Heymann Blvd, 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 |
|---|---|---|---|
| 1952393084 | NPI | - | NPPES |
| 1952383084 | Other | LA | INDIVIDUAL NPI |
| 1659688489 | Other | LA | GROUP NPI |
| 1345580 | Medicaid | LA | |
| 5L938DQ00 | Other | LA | INDIVIDUAL PTAN |
| 5DQ00 | Other | LA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 016161 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lafayette General Medical Center | Lafayette, LA | Hospital |
| Our Lady Of Lourdes Regional Medical Center, Inc | Lafayette, LA | Hospital |
| Opelousas General Health System | Opelousas, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Daniel R. Bourque, M.d., A.p.m.c. | 5092907220 | 3 |
| Entity Name | Daniel R. Bourque, M.d., A.p.m.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659688489 PECOS PAC ID: 5092907220 Enrollment ID: O20101006001130 |
| Entity Name | Obhg Louisiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639567316 PECOS PAC ID: 9234443250 Enrollment ID: O20150805006718 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel R Bourque, MD 435 Heymann Blvd, Lafayette, LA 70503-2616 Ph: (337) 234-3344 | Daniel R Bourque, MD 435 Heymann Blvd, Lafayette, LA 70503-2616 Ph: (337) 234-3344 |
Monique Michelle Monteilh, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4640 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-984-1050 Fax: 337-984-8776 | |
Mika Marlaine King, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4640 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-984-1050 Fax: 337-984-8776 | |
Francis J Cardinale, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-521-9100 Fax: 337-470-2019 | |
Dr. Virginia S Singleton-alfred, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-521-9100 Fax: 337-470-2019 | |
Mr. Charles E. Padgett, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1211 Coolidge Street, Suite 405, Lafayette, LA 70503 Phone: 337-233-7524 Fax: 337-233-7567 | |
Perry Scott Barrilleaux, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4630 Ambassador Caffery Pkwy, Suite 204, Lafayette, LA 70508 Phone: 337-989-9826 | |
John Michael Storment, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 206 E Farrel Road, Lafayette, LA 70508 Phone: 337-989-8795 Fax: 337-989-8766 |