| Deiadra Garrett, MD | |
| 
					4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908  | |
| (337) 470-5920 | |
| (337) 371-3160 | 
| Full Name | Deiadra Garrett | 
|---|---|
| Gender | Female | 
| Speciality | Surgery - Pediatric Surgery | 
| Location | 4704 Ambassador Caffery Pkwy, Lafayette, Louisiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144397472 | NPI | - | NPPES | 
| 1627123 | Other | IL | BCBS PROVIDER ID | 
| 036114195 1 | Medicaid | IL | 
| Entity Name | Our Lady Of The Lake Physician Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377  | 
| Entity Name | Lourdes Physician Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437405883 PECOS PAC ID: 7214177757 Enrollment ID: O20130705000541  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Deiadra Garrett, MD 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 Ph: (337) 470-5920  | Deiadra Garrett, MD 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 Ph: (337) 470-5920  | 
Lyndsey Nicole Bruno,  Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 W Pinhook Rd Ste 310, Lafayette, LA 70503 Phone: 337-233-9900  | |
Bennett Fontenot, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 E Saint Mary Blvd Ste 104, Lafayette, LA 70503 Phone: 337-504-3640  | |
Dr. James Sidney Wade Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-289-2000  | |
Dr. Dave J Barrios Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Beaullieu Dr, Bldg 3b, Lafayette, LA 70508 Phone: 337-261-9004 Fax: 337-261-9002  | |
Juan R Paredes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-261-1171 Fax: 337-261-1173  | |
Dr. Safi Haq, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1103 Kaliste Saloom Rd Ste 200, Lafayette, LA 70508 Phone: 337-470-3580 Fax: 337-470-3586  | |
Dr. Christopher E Lagraize, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 129 Rue Louis Xiv, Lafayette, LA 70508 Phone: 337-289-9700 Fax: 337-289-9702  |