| Dedric J Clarke, MD | |
|
602 N. Acadia Road, Suite 101, Thibodaux, LA 70301 | |
| (985) 493-4993 | |
| (985) 493-4994 |
| Full Name | Dedric J Clarke |
|---|---|
| Gender | Male |
| Speciality | Cardiac Electrophysiology |
| Experience | 22 Years |
| Location | 602 N. Acadia Road, Thibodaux, 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 |
|---|---|---|---|
| 1508056441 | NPI | - | NPPES |
| 1066885 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0001X | Internal Medicine - Clinical Cardiac Electrophysiology | MD.200764 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Touro Infirmary | New orleans, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crescent City Physicians Inc | 2769370543 | 130 |
| Entity Name | Crescent City Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689722340 PECOS PAC ID: 2769370543 Enrollment ID: O20040308001058 |
| Mailing Address | Practice Location Address |
|---|---|
| Dedric J Clarke, MD 602 N. Acadia Road, Suite 101, Thibodaux, LA 70301 Ph: (985) 493-4993 | Dedric J Clarke, MD 602 N. Acadia Road, Suite 101, Thibodaux, LA 70301 Ph: (985) 493-4993 |
Dr. Pasam Sudershan Rao, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1107 Audubon Ave A, Thibodaux, LA 70301 Phone: 985-447-7004 Fax: 985-447-7003 | |
Charles J Monier Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 N Acadia Rd, Suite 101, Thibodaux, LA 70301 Phone: 985-446-1958 Fax: 985-446-7889 | |
Mr. James Kevin Modisette, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 604 N. Acadia Rd., Suite 405, Thibodaux, LA 70301 Phone: 985-446-0871 Fax: 985-446-0874 | |
Mohammed Sayeedur Rais, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1320 Martin Luther King Dr, Thibodaux, LA 70301 Phone: 985-446-2021 Fax: 985-447-1546 | |
Hadi Elias, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-447-5500 | |
Ayush Arora, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1320 Martin Luther King Dr, Thibodaux, LA 70301 Phone: 985-446-2021 Fax: 985-447-1546 | |
Alvin Michael Timothy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1320 Martin Luther King Dr, Thibodaux, LA 70301 Phone: 985-446-2021 Fax: 985-447-1546 |