| Richard Douglas Demoss, MD | |
|
4200 Houma Blvd, Metairie, LA 70006 | |
| (504) 545-5683 | |
| (504) 456-8195 |
| Full Name | Richard Douglas Demoss |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 25 Years |
| Location | 4200 Houma Blvd, Metairie, 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 |
|---|---|---|---|
| 1003927849 | NPI | - | NPPES |
| 1052469 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0101X | Pathology - Anatomic Pathology | 026255 (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 | 120 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Douglas Demoss, MD 4200 Houma Blvd, Metairie, LA 70006 Ph: (504) 545-5683 | Richard Douglas Demoss, MD 4200 Houma Blvd, Metairie, LA 70006 Ph: (504) 545-5683 |
Joan Theresa Hoffpauir, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4648 I 10 Service Road, Metairie, LA 70001 Phone: 504-883-4800 Fax: 504-883-5554 | |
Dr. Erin Nicole Vicknair, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4200 Houma Blvd, Metairie, LA 70006 Phone: 504-454-5683 Fax: 504-456-8195 | |
Arthur Herman Reif, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4200 Houma Blvd, Department Of Pathology, Metairie, LA 70006 Phone: 504-454-5683 Fax: 504-456-8195 | |
Theresa Jeanne Nuttli, Pathology Medicare: Medicare Enrolled Practice Location: 520 Ridgewood Dr, Metairie, LA 70001 Phone: 504-460-0270 | |
Barry William Sartin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4648 S I 10 Service Rd W, Metairie, LA 70001 Phone: 504-883-4817 Fax: 504-883-4911 | |
Barry James Breaux, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4648 I 10 Service Road, Metairie, LA 70001 Phone: 504-883-4800 Fax: 504-883-5554 |