| Kimberly Marie Broussard, PA | |
|
249 Corporate Dr, Houma, LA 70360-2769 | |
| (985) 853-0900 | |
| Not Available |
| Full Name | Kimberly Marie Broussard |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 249 Corporate Dr, Houma, 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 |
|---|---|---|---|
| 1508200577 | NPI | - | NPPES |
| 2330438 | Medicaid | LA | |
| 01253212 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.200597 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Seeca Medical Inc | 8022115302 | 5 |
| Entity Name | Seeca Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851410948 PECOS PAC ID: 8022115302 Enrollment ID: O20070522000017 |
| Entity Name | Total Urgent Care and Occupational Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760871602 PECOS PAC ID: 6406168095 Enrollment ID: O20150722004972 |
| Entity Name | St Francis Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194104513 PECOS PAC ID: 6608181516 Enrollment ID: O20150820010652 |
| 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 |
| Entity Name | Lcmc Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184162877 PECOS PAC ID: 9234406125 Enrollment ID: O20170524002543 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Marie Broussard, PA 249 Corporate Dr, Houma, LA 70360-2769 Ph: (985) 853-0900 | Kimberly Marie Broussard, PA 249 Corporate Dr, Houma, LA 70360-2769 Ph: (985) 853-0900 |
Mr. Dale Alan Lasseigne, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 502 Barrow Street, Houma, LA 70360 Phone: 985-876-2150 Fax: 985-876-7413 |
Mr. Bradley Paul Chauvin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1340 Grand Caillou Rd, Houma, LA 70363 Phone: 985-262-4424 |
Mr. Keith Michael Poche, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1750 Martin Luther King Blvd.,, Suite 107, Houma, LA 70360 Phone: 985-851-0118 Fax: 985-851-0116 |
Bartholomew J Cortez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8120 Main St Ste 301, Houma, LA 70360 Phone: 985-851-6653 Fax: 985-872-1420 |
Kevin Mark Ricks, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1990 Industrial Boulevard, Houma, LA 70363 Phone: 985-868-9300 Fax: 985-851-0053 |
Katherine Weimer Daigle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 School St, Houma, LA 70360 Phone: 985-868-1540 |
Paul J Cummins, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1990 Industrial Boulevard, Houma, LA 70363 Phone: 985-868-9300 Fax: 985-851-0053 |