| Christine C Thistlethwaite, PA | |
|
141 Twin Oaks Dr, Raceland, LA 70394-2761 | |
| (985) 537-2666 | |
| (985) 537-1986 |
| Full Name | Christine C Thistlethwaite |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 141 Twin Oaks Dr, Raceland, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750351961 | NPI | - | NPPES |
| 1039641 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | A10190 (Louisiana) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Christine C Thistlethwaite, PA 141 Twin Oaks Dr, Raceland, LA 70394-2761 Ph: (985) 537-2666 | Christine C Thistlethwaite, PA 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 |
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 |
Adele Elise Broussard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 141 Twin Oaks Dr, Raceland, LA 70394 Phone: 985-537-2666 |