| Kallie E Landry, PA-C | |
|
726 N Acadia Rd Ste 2100, Thibodaux, LA 70301-5078 | |
| (985) 447-2645 | |
| (985) 447-2604 |
| Full Name | Kallie E Landry |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 726 N Acadia Rd Ste 2100, Thibodaux, 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 |
|---|---|---|---|
| 1114530722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 324145 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thibodaux Regional Medical Center | Thibodaux, LA | Hospital |
| Ochsner Lafayette General Medical Center | Lafayette, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coolidge Physician Services Llc | 7113156035 | 52 |
| Thibodaux Regional Network Development Corporation | 8224011754 | 138 |
| Entity Name | Thibodaux Regional Network Development Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285658310 PECOS PAC ID: 8224011754 Enrollment ID: O20040608000132 |
| Entity Name | Coolidge Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609298843 PECOS PAC ID: 7113156035 Enrollment ID: O20140218001309 |
| Mailing Address | Practice Location Address |
|---|---|
| Kallie E Landry, PA-C 726 N Acadia Rd Ste 2100, Thibodaux, LA 70301-5078 Ph: (985) 447-2645 | Kallie E Landry, PA-C 726 N Acadia Rd Ste 2100, Thibodaux, LA 70301-5078 Ph: (985) 447-2645 |
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 |
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 |
Mr. Sammy Allemand, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301 Phone: 985-625-2200 Fax: 985-625-2200 |