| Kandice Marie Thibodeaux, | |
|
4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | |
| (337) 470-4605 | |
| (337) 470-4595 |
| Full Name | Kandice Marie Thibodeaux |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 13 Years |
| Location | 4801 Ambassador Caffery Pkwy, Lafayette, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740541309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 207913 (Louisiana) | Secondary |
| 207R00000X | Internal Medicine | MD.207913 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of Lourdes Regional Medical Center, Inc | Lafayette, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lourdes Physician Group Llc | 7214177757 | 120 |
| Entity Name | Lourdes After Hours Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649297730 PECOS PAC ID: 5496704553 Enrollment ID: O20050114000648 |
| Entity Name | Lourdes Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437405883 PECOS PAC ID: 7214177757 Enrollment ID: O20130705000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Kandice Marie Thibodeaux, 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 Ph: (337) 470-2605 | Kandice Marie Thibodeaux, 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 Ph: (337) 470-4605 |
Leigh Victoria Deshotels, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4809 Ambassador Caffery Pkwy Ste 230, Lafayette, LA 70508 Phone: 337-470-2739 Fax: 337-470-6495 | |
Dr. Maximo Bienvenido Lamarche, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 W Saint Mary Blvd, Lafayette, LA 70506 Phone: 337-233-6593 Fax: 337-235-1032 | |
Dr. John M Rainey, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 501 W Saint Mary Blvd, Lafayette, LA 70506 Phone: 337-235-7898 Fax: 337-235-7445 | |
Cassie Clark, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6000 | |
Dr. Corwin Ashford Thomas, D.O. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 802 E Farrel Rd, Lafayette, LA 70508 Phone: 337-234-3163 Fax: 337-234-3168 | |
Dr. Matthew Shane Fontenot, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-289-7927 Fax: 337-289-7935 | |
Dr. John Brent Rhodes Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 439 Heymann Blvd, Lafayette, LA 70503 Phone: 337-269-0963 Fax: 337-269-0553 |