| Mrs Allison Claire Richard Vining, PA-C | |
|
602 N Acadia Rd, Thibodaux, LA 70301-4847 | |
| (337) 493-4843 | |
| (337) 449-4615 |
| Full Name | Mrs Allison Claire Richard Vining |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 602 N Acadia Rd, 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 |
|---|---|---|---|
| 1871688788 | NPI | - | NPPES |
| 1458279 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA2001.02 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Leonard J Chabert Medical Center | Houma, LA | Hospital |
| Ochsner Medical Center | New orleans, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Louisiana Medical Associates | 8527968650 | 112 |
| Jefferson Community Health Care Centers, Inc | 7911961115 | 17 |
| Entity Name | South Louisiana Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942301379 PECOS PAC ID: 8527968650 Enrollment ID: O20040113000589 |
| Entity Name | Jefferson Community Health Care Centers, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558419275 PECOS PAC ID: 7911961115 Enrollment ID: O20041117000594 |
| Entity Name | Capitol City Family Health Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265548614 PECOS PAC ID: 5193639151 Enrollment ID: O20051130000101 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Allison Claire Richard Vining, PA-C 199 Ravensaide Dr, Houma, LA 70360-8356 Ph: (337) 298-3961 | Mrs Allison Claire Richard Vining, PA-C 602 N Acadia Rd, Thibodaux, LA 70301-4847 Ph: (337) 493-4843 |
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 |
Kallie E Landry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 726 N Acadia Rd Ste 2100, Thibodaux, LA 70301 Phone: 985-447-2645 Fax: 985-447-2604 |
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 |