| Adele Elise Broussard, PA-C | |
|
141 Twin Oaks Dr, Raceland, LA 70394-2761 | |
| (985) 537-2666 | |
| Not Available |
| Full Name | Adele Elise Broussard |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 141 Twin Oaks Dr, Raceland, 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 |
|---|---|---|---|
| 1972118842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 324301 (Louisiana) | Primary |
| 363AM0700X | Physician Assistant - Medical | 324301 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ochsner St Anne General Hospital | Raceland, LA | Hospital |
| Ochsner St Mary | Morgan city, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ochsner Clinic Llc | 8224933619 | 2845 |
| Entity Name | Ochsner Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Entity Name | Ochsner Bayou LLC |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1396761805 PECOS PAC ID: 0244242840 Enrollment ID: O20061104000387 |
| Entity Name | Thibodaux Emergency Physicians Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568910503 PECOS PAC ID: 2769760537 Enrollment ID: O20161028001769 |
| Entity Name | Thibodaux Regional Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013683903 PECOS PAC ID: 4486042553 Enrollment ID: O20211021001859 |
| Mailing Address | Practice Location Address |
|---|---|
| Adele Elise Broussard, PA-C 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-4000 | Adele Elise Broussard, PA-C 141 Twin Oaks Dr, Raceland, LA 70394-2761 Ph: (985) 537-2666 |
Marissa Diaz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 141 Twin Oaks Dr, Raceland, LA 70394 Phone: 985-537-2666 Fax: 985-537-1986 |
Christine C Thistlethwaite, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 141 Twin Oaks Dr, Raceland, LA 70394 Phone: 985-537-2666 Fax: 985-537-1986 |
Mary Breaux Rodrigue, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4912 Highway 1, Raceland, LA 70394 Phone: 985-532-2387 |
Carsyn Touzet, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Acadia Park Dr, Raceland, LA 70394 Phone: 985-537-7575 |