| Dr Chester Gregory Boudreaux, MD | |
|
142 Rue Marguerite, Thibodaux, LA 70301-6738 | |
| (985) 446-2131 | |
| (985) 447-3383 |
| Full Name | Dr Chester Gregory Boudreaux |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 31 Years |
| Location | 142 Rue Marguerite, 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 |
|---|---|---|---|
| 1073502472 | NPI | - | NPPES |
| 1493783 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 022212 (Louisiana) | Primary |
| 207R00000X | Internal Medicine | MD.022212 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Divinity Home Health Services, Llc | Thibodaux, LA | Home health agency |
| Home Health Ctr Of Thibodaux | Thibodaux, LA | Home health agency |
| Hospice Of South Louisiana | Houma, LA | Hospice |
| Thibodaux Regional Medical Center | Thibodaux, LA | Hospital |
| Lafourche Home For Aged & Infirm | Thibodaux, LA | Nursing home |
| Audubon Health And Rehab | Thibodaux, LA | Nursing home |
| Thibodaux Healthcare And Rehabilitation Center | Thibodaux, LA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chester G Boudreaux Md Inc | 2365725462 | 2 |
| Entity Name | Chester G Boudreaux Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851833396 PECOS PAC ID: 2365725462 Enrollment ID: O20170216000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chester Gregory Boudreaux, MD 142 Rue Marguerite, Thibodaux, LA 70301-6738 Ph: (985) 446-2131 | Dr Chester Gregory Boudreaux, MD 142 Rue Marguerite, Thibodaux, LA 70301-6738 Ph: (985) 446-2131 |
Dr. James Theard Soignet, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 142 Rue Marguerite, Thibodaux, LA 70301 Phone: 985-446-2131 Fax: 985-447-3383 |