| Tiffany Mary Dufrene, MD | |
|
1525 Oak Park Blvd, Lake Charles, LA 70601-8849 | |
| (337) 494-6767 | |
| (337) 494-6750 |
| Full Name | Tiffany Mary Dufrene |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 1525 Oak Park Blvd, Lake Charles, 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 |
|---|---|---|---|
| 1225535818 | NPI | - | NPPES |
| 325402 | Other | LA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 325402 (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 |
| Entity Name | Lsuhsc Family Practice Center @ Lcmh |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073514493 PECOS PAC ID: 0042297558 Enrollment ID: O20040702000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Mary Dufrene, MD Po Box 123453 Dept 3453, Dallas, TX 75312-0001 Ph: (337) 494-2772 | Tiffany Mary Dufrene, MD 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 Ph: (337) 494-6767 |
Dr. Benjamin Bryce Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 771 E Bayou Pines Dr, Lake Charles, LA 70601 Phone: 337-433-1212 Fax: 337-433-0736 | |
Dr. Michael Kevin Seep, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-480-8900 Fax: 337-480-8901 | |
Dr. Melissa Lalande Rasberry, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1920 W Sale Rd, Bldg F, Suite 2, Lake Charles, LA 70605 Phone: 337-474-2856 Fax: 337-480-0645 | |
Micah Leleux, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 217 Sam Houston Jones Pkwy Ste 104, Lake Charles, LA 70611 Phone: 337-480-8989 Fax: 337-480-8988 | |
Kira Racine Groves, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-480-8900 Fax: 337-480-8901 | |
Dr. Jason P Hagen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Walters St, Lake Charles, LA 70607 Phone: 337-480-8066 Fax: 337-480-8061 | |
Elvira Delbar Kazemyan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1525 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-494-2023 Fax: 337-630-6966 |