| Johnathan Lloyd Wise, MD | |
|
406 N Acadia Rd, Thibodaux, LA 70301-4856 | |
| (985) 446-2890 | |
| (985) 446-2189 |
| Full Name | Johnathan Lloyd Wise |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 13 Years |
| Location | 406 N Acadia Rd, 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 |
|---|---|---|---|
| 1992125355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD.308148 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thibodaux Regional Medical Center | Thibodaux, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thibodaux Regional Network Development Corporation | 8224011754 | 132 |
| Entity Name | Baton Rouge General Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992729560 PECOS PAC ID: 5193623643 Enrollment ID: O20040310001522 |
| 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 |
| Entity Name | Baton Rouge General Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609134766 PECOS PAC ID: 5193623643 Enrollment ID: O20120621000448 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnathan Lloyd Wise, MD 506 N Acadia Rd, Thibodaux, LA 70301-4862 Ph: (985) 448-1121 | Johnathan Lloyd Wise, MD 406 N Acadia Rd, Thibodaux, LA 70301-4856 Ph: (985) 446-2890 |
Nicole D Prosperie, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 604 N Acadia Rd Ste 500, Thibodaux, LA 70301 Phone: 985-448-1216 Fax: 985-446-8765 | |
Rhandi A Wise, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 604 N Acadia Rd Ste 500, Thibodaux, LA 70301 Phone: 985-448-1216 Fax: 985-446-8765 | |
Dr. Judith Canella Blaise, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-493-4706 Fax: 985-449-2595 | |
Christopher Z Rodrigue Jr., M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 506 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-448-1216 Fax: 985-446-8765 | |
Anne E Rodrigue, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 506 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-448-1216 Fax: 985-446-8765 | |
John H Milek, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 506 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-448-1216 Fax: 985-446-8765 | |
Catherine M Diebold, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 604 N Acadia Rd Ste 500, Thibodaux, LA 70301 Phone: 985-448-1216 Fax: 985-446-8765 |