| Dr Eric John Gravois, MD | |
|
3928 Highway 70 S, Pierre Part, LA 70339-4460 | |
| (985) 252-1111 | |
| (985) 252-1400 |
| Full Name | Dr Eric John Gravois |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 14 Years |
| Location | 3928 Highway 70 S, Pierre Part, 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 |
|---|---|---|---|
| 1467746628 | NPI | - | NPPES |
| 2368838 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16251 (Florida) | Secondary |
| 207Q00000X | Family Medicine | MD206882 (Louisiana) | Primary |
| 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 |
| Cardinal Hospice | Baton rouge, LA | Hospice |
| Prevost Memorial Hospital | Donaldsonville, LA | Hospital |
| Thibodaux Regional Medical Center | Thibodaux, LA | Hospital |
| Chateau D'ville Rehab And Retirement | Donaldsonville, LA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thibodaux Regional Network Development Corporation | 8224011754 | 120 |
| Entity Name | Thibodaux Regional Network Development Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285658310 PECOS PAC ID: 8224011754 Enrollment ID: O20040608000132 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric John Gravois, MD Po Box 5478, Thibodaux, LA 70302-5478 Ph: (985) 447-5500 | Dr Eric John Gravois, MD 3928 Highway 70 S, Pierre Part, LA 70339-4460 Ph: (985) 252-1111 |
Dr. Sherlyn B Larrison, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3617 Highway 70 S, Pierre Part, LA 70339 Phone: 985-252-6211 Fax: 985-252-0006 | |
Jeanenne C Brignac, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3617 Hwy 70 South, Pierre Part, LA 70339 Phone: 985-252-6211 Fax: 985-252-0006 | |
Dr. James C Larrison, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3617 Highway 70 S, Pierre Part, LA 70339 Phone: 985-252-6211 Fax: 985-252-0006 |