| Trevor Paul Boudreaux, MD | |
|
726 N Acadia Rd Ste 1700, Thibodaux, LA 70301-5051 | |
| (985) 493-4990 | |
| (985) 493-4991 |
| Full Name | Trevor Paul Boudreaux |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 9 Years |
| Location | 726 N Acadia Rd Ste 1700, 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 |
|---|---|---|---|
| 1396286605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 313125 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Medical Center New Orleans | New orleans, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Louisiana State University School Of Medicine In New Orleans Faculty G | 0244136448 | 409 |
| Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661 |
| 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 |
|---|---|
| Trevor Paul Boudreaux, MD Po Box 5478, Thibodaux, LA 70302-5478 Ph: (985) 493-4544 | Trevor Paul Boudreaux, MD 726 N Acadia Rd Ste 1700, Thibodaux, LA 70301-5051 Ph: (985) 493-4990 |
Alex Thibodeaux, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 726 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-493-4980 | |
Dr. Todd D. Cowen, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 604 North Acadia Road,, Suite 100, Thibodaux, LA 70301 Phone: 985-447-9922 Fax: 985-447-9006 |