| Budd Joseph Theriot, | |
|
109 Southern Cir, Thibodaux, LA 70301-5914 | |
| (985) 518-5904 | |
| Not Available |
| Full Name | Budd Joseph Theriot |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 109 Southern Cir, Thibodaux, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649839093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Entity Name | South Louisiana Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942301379 PECOS PAC ID: 8527968650 Enrollment ID: O20040113000589 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Budd Joseph Theriot, 109 Southern Cir, Thibodaux, LA 70301-5914 Ph: (985) 518-5904 | Budd Joseph Theriot, 109 Southern Cir, Thibodaux, LA 70301-5914 Ph: (985) 518-5904 |
Sara Cook Stone, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 404 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-447-3889 Fax: 985-446-2483 |
Mr. Brennan Joseph Thibodeaux, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301 Phone: 985-625-2200 |
Kallie E Landry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 726 N Acadia Rd Ste 2100, Thibodaux, LA 70301 Phone: 985-447-2645 Fax: 985-447-2604 |
Andre Bourgeois, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 410 Hale Dr, Thibodaux, LA 70301 Phone: 985-414-1474 |
Morgan Rodrigue, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 267 Rue Pelletier, Thibodaux, LA 70301 Phone: 985-855-6885 |
Ms. Adrienne Elizabeth Broussard, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 604 N Acadia Rd Ste 101, Thibodaux, LA 70301 Phone: 985-446-5079 Fax: 877-795-9281 |
Nia Walker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301 Phone: 985-447-5500 |