| Mr Gavin Triche, PA-C | |
|
128 Neuroscience Court, Gray, LA 70359 | |
| (985) 917-3007 | |
| Not Available |
| Full Name | Mr Gavin Triche |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 128 Neuroscience Court, Gray, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265985915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 302680 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Neuroscience Center, Llc | 9032010558 | 9 |
| Entity Name | Southeast Neuroscience Center, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285630129 PECOS PAC ID: 9032010558 Enrollment ID: O20040505000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gavin Triche, PA-C 128 Neuroscience Court, Gray, LA 70359 Ph: (985) 917-3007 | Mr Gavin Triche, PA-C 128 Neuroscience Court, Gray, LA 70359 Ph: (985) 917-3007 |
Brittany Mae Rowell, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 128 Neuroscience Ct, Gray, LA 70359 Phone: 985-917-3007 Fax: 985-917-3010 |
Taylor Michelle Tanner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 128 Neuroscience Ct, Gray, LA 70359 Phone: 985-917-3007 Fax: 985-917-3010 |
Elizabeth N. Smith, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 123 Frontage Road A, Gray, LA 70359 Phone: 985-580-1200 |
Marilyn P Wilson, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 123 Frontage A Rd, Gray, LA 70359 Phone: 985-580-1200 Fax: 985-580-1218 |