Toni W Roussel, FNP - Medicare Nurse Practitioner in Baton Rouge, LA

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Toni W Roussel, FNP is a medicare enrolled "Nurse Practitioner" in Baton Rouge, Louisiana. She graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Thibodaux Regional Urgent Care Llc and her current practice location is 10771 Perkins Rd, Baton Rouge, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 256-1634.

Toni W Roussel is licensed to practice in Louisiana (license number AP04744) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720012859.

Contact Information

Toni W Roussel, FNP
10771 Perkins Rd,
Baton Rouge, LA 70810-1693
(225) 256-1634
(225) 384-5402

Map and Direction




Provider's Profile

Full NameToni W Roussel
GenderFemale
SpecialityNurse Practitioner
Experience20 Years
Location10771 Perkins Rd, Baton Rouge, Louisiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Toni W Roussel graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1720012859
  • Provider Enumeration Date: 07/11/2006
  • Last Update Date: 04/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8325072242
  • Enrollment ID: I20050921000037

Medical Identifiers

Medical identifiers for Toni W Roussel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720012859NPI-NPPES
1725251MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP04744 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St James Parish HospitalLutcher, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thibodaux Regional Urgent Care Llc448604255313

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Toni W Roussel allows following entities to bill medicare on her behalf.
Entity NameSt. James Parish Hosp Serv Dist
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295868065
PECOS PAC ID: 3476459850
Enrollment ID: O20031208000748
Entity NameSt James Primary Care (apmc)
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346429453
PECOS PAC ID: 0941270961
Enrollment ID: O20040728000368
Entity NameC & M Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710903059
PECOS PAC ID: 9436061553
Enrollment ID: O20050121000093
Entity NameCoastal Urgent Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568601425
PECOS PAC ID: 8729138896
Enrollment ID: O20090611000042
Entity NameHulin Urgent Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699049262
PECOS PAC ID: 6800051285
Enrollment ID: O20120710000537
Entity NameThibodaux Regional Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013683903
PECOS PAC ID: 4486042553
Enrollment ID: O20211021001859

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Toni W Roussel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Toni W Roussel, FNP
720 Lefort Bypass Rd,
Thibodaux, LA 70301-6133

Ph: (985) 257-0592		Toni W Roussel, FNP
10771 Perkins Rd,
Baton Rouge, LA 70810-1693

Ph: (225) 256-1634

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.