| Dr Kerry Thomas Thibodeaux, MD FACS | |
|
1270 Attakapas Dr, Ste 202, Opelousas, LA 70570-6549 | |
| (337) 948-4362 | |
| (337) 942-6523 |
| Full Name | Dr Kerry Thomas Thibodeaux |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 39 Years |
| Location | 1270 Attakapas Dr, Opelousas, 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 |
|---|---|---|---|
| 1093774192 | NPI | - | NPPES |
| 1374105 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 019158 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Landry Homecare | Opelousas, LA | Home health agency |
| Opelousas General Health System | Opelousas, LA | Hospital |
| Beauregard Memorial Hospital | Deridder, LA | Hospital |
| St Martin Hospital | Breaux bridge, LA | Hospital |
| Entity Name | Kerry T. Thibodeaux Md Apmc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407883556 PECOS PAC ID: 1254343692 Enrollment ID: O20060629000016 |
| Entity Name | St Martin Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407175615 PECOS PAC ID: 4688720782 Enrollment ID: O20101020001032 |
| Entity Name | Skp Wound Care Of Louisiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215612122 PECOS PAC ID: 7315391257 Enrollment ID: O20230927000957 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kerry Thomas Thibodeaux, MD FACS 1270 Attakapas Dr, Ste 202, Opelousas, LA 70570-6549 Ph: (337) 948-4362 | Dr Kerry Thomas Thibodeaux, MD FACS 1270 Attakapas Dr, Ste 202, Opelousas, LA 70570-6549 Ph: (337) 948-4362 |
Mark Andrew Sicard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 703 E Prudhomme St, Opelousas, LA 70570 Phone: 337-942-7192 | |
Brooks Bettison Lowrey, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 627 E Prudhomme St, Opelousas, LA 70570 Phone: 337-594-3446 | |
Thomas A Castille, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 703 E Prudhomme St, Opelousas, LA 70570 Phone: 337-942-7192 Fax: 337-942-5940 | |
Salvador H Vazquez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 703 E Prudhomme St, Opelousas, LA 70570 Phone: 337-942-7192 | |
Dr. Glynn Adam Granger, MD Surgery Medicare: Medicare Enrolled Practice Location: 3975 I 49 S Service Rd, Suite 105, Opelousas, LA 70570 Phone: 337-948-7680 Fax: 337-948-1143 | |
Eric Amy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 703 E Prudhomme St, Opelousas, LA 70570 Phone: 337-942-7192 |