| Mr James Kevin Modisette, MD | |
|
604 N. Acadia Rd., Suite 405, Thibodaux, LA 70301 | |
| (985) 446-0871 | |
| (985) 446-0874 |
| Full Name | Mr James Kevin Modisette |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 29 Years |
| Location | 604 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 |
|---|---|---|---|
| 1063413995 | NPI | - | NPPES |
| 1492141 | Medicaid | LA | |
| 7814220 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 22699 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmcna - Thibodaux | Thibodaux, LA | Dialysis facility |
| Thibodaux Regional Medical Center | Thibodaux, LA | Hospital |
| Terrebonne General Medical Center | Houma, LA | Hospital |
| Ochsner St Anne General Hospital | Raceland, LA | Hospital |
| Lady Of The Sea General Hospital | Cut off, LA | Hospital |
| Ochsner St Mary | Morgan city, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kidney Center Of South Louisiana, Amc | 8820042757 | 3 |
| Entity Name | Kidney Center Of South Louisiana, Amc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386858918 PECOS PAC ID: 8820042757 Enrollment ID: O20050303000597 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James Kevin Modisette, MD 604 N. Acadia Rd., Suite 405, Thibodaux, LA 70301 Ph: (985) 446-0871 | Mr James Kevin Modisette, MD 604 N. Acadia Rd., Suite 405, Thibodaux, LA 70301 Ph: (985) 446-0871 |
Dr. Pasam Sudershan Rao, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1107 Audubon Ave A, Thibodaux, LA 70301 Phone: 985-447-7004 Fax: 985-447-7003 | |
Charles J Monier Jr., MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 602 N Acadia Rd, Suite 101, Thibodaux, LA 70301 Phone: 985-446-1958 Fax: 985-446-7889 | |
Mohammed Sayeedur Rais, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1320 Martin Luther King Dr, Thibodaux, LA 70301 Phone: 985-446-2021 Fax: 985-447-1546 | |
Hadi Elias, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-447-5500 | |
Ayush Arora, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1320 Martin Luther King Dr, Thibodaux, LA 70301 Phone: 985-446-2021 Fax: 985-447-1546 | |
Alvin Michael Timothy, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1320 Martin Luther King Dr, Thibodaux, LA 70301 Phone: 985-446-2021 Fax: 985-447-1546 |