Cory D Theriot, APRN | |
213 E Etienne Rd, Maurice, LA 70555-4375 | |
(373) 740-9663 | |
Not Available |
Full Name | Cory D Theriot |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Acute Care |
Location | 213 E Etienne Rd, Maurice, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568485837 | NPI | - | NPPES |
1372986 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | AP04897 (Louisiana) | Primary |
Entity Name | Cardiology Specialists Of Acadiana, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881863553 PECOS PAC ID: 5799971834 Enrollment ID: O20110819000372 |
Entity Name | Louisiana Rehabilitation Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922780808 PECOS PAC ID: 0941664049 Enrollment ID: O20230907002933 |
Entity Name | Opti-health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942029129 PECOS PAC ID: 4486188661 Enrollment ID: O20241111002096 |
Mailing Address | Practice Location Address |
---|---|
Cory D Theriot, APRN Po Box 80055, Lafayette, LA 70598-0055 Ph: (337) 344-4977 | Cory D Theriot, APRN 213 E Etienne Rd, Maurice, LA 70555-4375 Ph: (373) 740-9663 |
Emily Duhon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 Milton Rd, Maurice, LA 70555 Phone: 337-893-4449 | |
Lindsey Lobell Kelehan, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9610 Maurice Ave, Maurice, LA 70555 Phone: 337-470-2772 Fax: 337-470-2019 | |
Ms. Tasha Rachelle Moody, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Michael John Dr, Maurice, LA 70555 Phone: 318-332-6244 |