| Dr Alan P Broussard, MD | |
|
100b Champagne Blvd, Breaux Bridge, LA 70517-3852 | |
| (337) 261-5151 | |
| Not Available |
| Full Name | Dr Alan P Broussard |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 100b Champagne Blvd, Breaux Bridge, 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 |
|---|---|---|---|
| 1700874468 | NPI | - | NPPES |
| 1674133 | Medicaid | LA | |
| P00185378 | Other | LA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 022215 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospital & Clinics | Lafayette, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lsuhn Billing Llc | 0446337802 | 188 |
| Entity Name | Lsuhn Billing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992975775 PECOS PAC ID: 0446337802 Enrollment ID: O20080409000372 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alan P Broussard, MD 100b Champagne Blvd, Breaux Bridge, LA 70517-3852 Ph: (337) 261-5151 | Dr Alan P Broussard, MD 100b Champagne Blvd, Breaux Bridge, LA 70517-3852 Ph: (337) 261-5151 |
Jeanne Dauphine Theriot, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Champagne Blvd, Breaux Bridge, LA 70517 Phone: 337-332-2242 Fax: 337-332-4074 | |
Dr. Deidre L. Stelly, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 548 Lakes Blvd, Breaux Bridge, LA 70517 Phone: 337-332-0661 Fax: 337-332-0651 | |
Dr. Jahanyar Khorsandi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 Champagne Blvd., Breaux Bridge, LA 70517 Phone: 337-332-0222 Fax: 337-332-1102 | |
Dr. Jacob James Sandoz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Champagne Blvd, Breaux Bridge, LA 70517 Phone: 337-332-2178 | |
Dr. Warren J. Degatur Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 Champagne Blvd, Suite A, Breaux Bridge, LA 70517 Phone: 337-332-3500 |