| Dr Warren J Degatur Jr, MD | |
|
206 Champagne Blvd, Suite A, Breaux Bridge, LA 70517-3700 | |
| (337) 332-3500 | |
| Not Available |
| Full Name | Dr Warren J Degatur Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 42 Years |
| Location | 206 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 |
|---|---|---|---|
| 1720047079 | NPI | - | NPPES |
| 1344940 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 017128 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Nursing Specialties | Lafayette, LA | Home health agency |
| Lakeshore Home Health | Breaux bridge, LA | Home health agency |
| St Martin Hospital | Breaux bridge, LA | Hospital |
| Lafayette General Medical Center | Lafayette, LA | Hospital |
| St Agnes Healthcare And Rehab Center | Breaux bridge, LA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Warren J. Degatur, Jr. Md Inc | 4385707108 | 3 |
| Fuselier Healthcare Services Llc | 9335583970 | 2 |
| Entity Name | Warren J. Degatur, Jr. Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568654689 PECOS PAC ID: 4385707108 Enrollment ID: O20090106000012 |
| Entity Name | Fuselier Healthcare Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346018330 PECOS PAC ID: 9335583970 Enrollment ID: O20240222000336 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Warren J Degatur Jr, MD Po Box 335, Breaux Bridge, LA 70517-0335 Ph: (337) 332-3500 | Dr Warren J Degatur Jr, MD 206 Champagne Blvd, Suite A, Breaux Bridge, LA 70517-3700 Ph: (337) 332-3500 |
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. Alan P. Broussard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100b Champagne Blvd, Breaux Bridge, LA 70517 Phone: 337-261-5151 |