Dr Brad Alan Boudreaux, MD | |
3619 Ambassador Caffery Pkwy, Bldg E, Lafayette, LA 70503-5132 | |
(337) 534-4410 | |
(337) 534-4426 |
Full Name | Dr Brad Alan Boudreaux |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 19 Years |
Location | 3619 Ambassador Caffery Pkwy, 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 |
---|---|---|---|
1811076995 | NPI | - | NPPES |
1091570 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 201157 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Regional Medical Center | Ville platte, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency Group Of St Landry Llc | 0749237212 | 8 |
Eunice Emergency Group Llc | 3476507849 | 12 |
Entity Name | Eunice Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104895689 PECOS PAC ID: 3476507849 Enrollment ID: O20050309000026 |
Entity Name | Opelousas Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477522704 PECOS PAC ID: 7719933829 Enrollment ID: O20050322000851 |
Entity Name | Emergency Group Of St Landry Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164491320 PECOS PAC ID: 0749237212 Enrollment ID: O20050406000828 |
Entity Name | Main Street Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750796041 PECOS PAC ID: 4880917012 Enrollment ID: O20141219001279 |
Entity Name | Clark Integrated Medical Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124529284 PECOS PAC ID: 8022372598 Enrollment ID: O20180509000736 |
Entity Name | Acadian Health, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033733688 PECOS PAC ID: 3274957295 Enrollment ID: O20200723002472 |
Mailing Address | Practice Location Address |
---|---|
Dr Brad Alan Boudreaux, MD 3619 Ambassador Caffery Pkwy, Bldg E, Lafayette, LA 70503-5132 Ph: (337) 534-4410 | Dr Brad Alan Boudreaux, MD 3619 Ambassador Caffery Pkwy, Bldg E, Lafayette, LA 70503-5132 Ph: (337) 534-4410 |
Lance Fogleman, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-501-3698 | |
Dr. Lovelace Joseph Luquette Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 219 Waterford Dr, Lafayette, LA 70503 Phone: 337-984-8910 | |
Dr. Walter Edward Norton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Ruthwood Drive, Lafayette, LA 70503 Phone: 337-406-0390 | |
Braden Conrad Despot, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Travis St Ste 201, Lafayette, LA 70503 Phone: 337-233-9199 Fax: 337-233-9198 | |
Vinay Kumar Juneja, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5000 Ambassador Caffery Pkwy Ste A, Lafayette, LA 70508 Phone: 337-534-0952 | |
Marc Fernandez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 Rue Louis Xiv Bldg 5, Lafayette, LA 70508 Phone: 337-269-7494 | |
Collins T Kgoadi, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506 Phone: 337-981-2949 |