| Joel D Thibodeaux, MD | |
|
1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | |
| (337) 494-3190 | |
| Not Available |
| Full Name | Joel D Thibodeaux |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 25 Years |
| Location | 1701 Oak Park Blvd, Lake Charles, 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 |
|---|---|---|---|
| 1972698918 | NPI | - | NPPES |
| 1423602 | Medicaid | LA | |
| 1972698918 | Other | INDIVIDUAL NPI NUMBER |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hermann Katy Hospital | Katy, TX | Hospital |
| Oakbend Medical Center | Richmond, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brown And Associates Medical Laboratories Llp | 3072508316 | 10 |
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
| Entity Name | Brown & Associates Medical Laboratories Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912981747 PECOS PAC ID: 3072508316 Enrollment ID: O20050627000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Joel D Thibodeaux, MD Po Box 3780, Tupelo, MS 38803-3780 Ph: (318) 841-9526 | Joel D Thibodeaux, MD 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 Ph: (337) 494-3190 |
Sara Samadzadeh, M.D Pathology Medicare: Medicare Enrolled Practice Location: 830 W Bayou Pines Dr, Lake Charles, LA 70601 Phone: 373-312-1310 | |
Dr. Robert L Rumsey, MD Pathology Medicare: Medicare Enrolled Practice Location: 830 W Bayou Pines Dr, Lake Charles, LA 70601 Phone: 337-436-9557 Fax: 337-312-1311 | |
Dr. Brandi J Kelly, MD Pathology Medicare: Medicare Enrolled Practice Location: 830 W Bayou Pines Dr, Lake Charles, LA 70601 Phone: 337-436-9557 Fax: 337-312-1311 | |
Dr. Regina Saretta Burton, MD Pathology Medicare: Medicare Enrolled Practice Location: 830 W Bayou Pines Dr, Lake Charles, LA 70601 Phone: 337-436-9557 | |
Dr. Stephanie Sara Richard, MD Pathology Medicare: Medicare Enrolled Practice Location: 830 W Bayou Pines Dr, Lake Charles, LA 70601 Phone: 337-436-9557 Fax: 337-312-1311 | |
Gault Henry Townsend, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 830 Bayou Pines Dr, The Pathology Laboratory, Lake Charles, LA 70601 Phone: 337-436-9557 Fax: 337-439-3085 | |
Carl Gregory Bowling, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1701 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-494-3190 Fax: 337-494-2464 |