| Richard K Broussard, MD | |
|
439 Heymann Blvd, Lafayette, LA 70503-2616 | |
| (337) 269-0963 | |
| (337) 269-0553 |
| Full Name | Richard K Broussard |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 39 Years |
| Location | 439 Heymann Blvd, Lafayette, 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 |
|---|---|---|---|
| 1639245798 | NPI | - | NPPES |
| 1957356 | Medicaid | LA | |
| 100005170 | Other | LA | RAIL ROAD MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 018918 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lafayette General Medical Center | Lafayette, LA | Hospital |
| Our Lady Of Lourdes Regional Medical Center, Inc | Lafayette, LA | Hospital |
| St Martin Hospital | Breaux bridge, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Louisiana Gastroenterology Associates Llc | 4789079781 | 28 |
| Entity Name | University Hospital & Clinics, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639518087 PECOS PAC ID: 7113161977 Enrollment ID: O20130917000335 |
| Entity Name | Louisiana Gastroenterology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366195091 PECOS PAC ID: 4789079781 Enrollment ID: O20220309001421 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard K Broussard, MD 439 Heymann Blvd, Lafayette, LA 70503-2616 Ph: (337) 269-0963 | Richard K Broussard, MD 439 Heymann Blvd, Lafayette, LA 70503-2616 Ph: (337) 269-0963 |
Leigh Victoria Deshotels, MD Gastroenterology 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. Gastroenterology 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. Gastroenterology Medicare: Medicare Enrolled Practice Location: 501 W Saint Mary Blvd, Lafayette, LA 70506 Phone: 337-235-7898 Fax: 337-235-7445 | |
Cassie Clark, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2390 W Congress St, Lafayette, LA 70506 Phone: 337-261-6000 | |
Dr. Corwin Ashford Thomas, D.O. Gastroenterology 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. Gastroenterology 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. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 439 Heymann Blvd, Lafayette, LA 70503 Phone: 337-269-0963 Fax: 337-269-0553 |