| Caroline Landry Hanks, PA-C | |
|
4704 Ambassador Caffery Pkwy Fl 1, Lafayette, LA 70508-6908 | |
| (337) 470-5920 | |
| (885) 431-6868 |
| Full Name | Caroline Landry Hanks |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 4704 Ambassador Caffery Pkwy Fl 1, Lafayette, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215615539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 337798 (Louisiana) | Primary |
| Entity Name | Our Lady of the Lake Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
| Entity Name | Lourdes Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437405883 PECOS PAC ID: 7214177757 Enrollment ID: O20130705000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Caroline Landry Hanks, PA-C 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (337) 470-5920 | Caroline Landry Hanks, PA-C 4704 Ambassador Caffery Pkwy Fl 1, Lafayette, LA 70508-6908 Ph: (337) 470-5920 |
Stefanie Hummel Theriot, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 105 Patriot St Ste 101, Lafayette, LA 70508 Phone: 337-981-2125 Fax: 337-981-2174 |
Kevin Kathleen M Menard, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1103 Kaliste Saloom Rd, Lafayette, LA 70508 Phone: 337-234-5234 |
Todd A Devalcourt, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4212 W Congress St Ste 3100, Lafayette, LA 70506 Phone: 337-703-3201 Fax: 337-703-3202 |
Banee Madison, P.A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-561-9100 |
Ms. Justine Michelle Guerrero, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Wilson St, Lafayette, LA 70503 Phone: 337-456-6523 Fax: 337-456-6521 |
Mrs. Sarah Lalande Ardoin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-2605 Fax: 337-470-4595 |
Jason R Comeaux, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-2605 Fax: 337-470-4595 |