Thibodaux Medical Clinic - Medicare Primary Care in Thibodaux, LA

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Thibodaux Medical Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Thibodaux, Louisiana. The current practice location for Thibodaux Medical Clinic is 931 N Canal Blvd, Thibodaux, Louisiana. For appointments, you can reach them via phone at (985) 446-6381. The mailing address for Thibodaux Medical Clinic is 1214 Cardinal Dr, Thibodaux, Louisiana and phone number is (985) 446-6381.

Thibodaux Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083727838. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (985) 446-6381.

Contact Information

Thibodaux Medical Clinic
931 N Canal Blvd
Thibodaux
LA 70301-8095
(985) 446-6381
(985) 446-5992

Map and Direction


Primary Care Clinic Profile

Full NameThibodaux Medical Clinic
SpecialityClinic/Center
Location931 N Canal Blvd, Thibodaux, Louisiana
Authorized Official Name and PositionGayathri Talluri (OWNER)
Authorized Official Contact9854140682
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thibodaux Medical Clinic
1214 Cardinal Dr
Thibodaux
LA 70301-4815

Ph: (985) 446-6381		Thibodaux Medical Clinic
931 N Canal Blvd
Thibodaux
LA 70301-8095

Ph: (985) 446-6381

NPI Details:

NPI Number1083727838
Provider Enumeration Date08/16/2006
Last Update Date07/07/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6608817077
Medicare Enrollment IDO20100218000799

Medical Identifiers

Medical identifiers for Thibodaux Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083727838NPI-NPPES
2152858MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Thibodaux Medical Clinic acts as a billing entity for following providers:
Provider NameChantel M Charpentier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821086133
PECOS PAC ID: 4486628302
Enrollment ID: I20040825000538
Provider NameGayathri Talluri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699792564
PECOS PAC ID: 9032253752
Enrollment ID: I20100218000852
Provider NameRadha Vanukuri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316131196
PECOS PAC ID: 8729260203
Enrollment ID: I20110303000966
Provider NameChristy L Hebert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013144559
PECOS PAC ID: 1850569450
Enrollment ID: I20110726000896
Provider NameRebecca M Breaux
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538596739
PECOS PAC ID: 5395974745
Enrollment ID: I20140204001669
Provider NameJennifer Boudreaux
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679922918
PECOS PAC ID: 0840587358
Enrollment ID: I20160927003156
Provider NameAmrita Singh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891114310
PECOS PAC ID: 6103182746
Enrollment ID: I20171114002923
Provider NameDavid A Plaisance
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902325699
PECOS PAC ID: 5698015220
Enrollment ID: I20190319000963
Provider NameMi'osha S Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780246660
PECOS PAC ID: 7911237433
Enrollment ID: I20190926001605
Provider NameVenkata S Devabhaktuni
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1891734752
PECOS PAC ID: 0941261374
Enrollment ID: I20191010001345
Provider NameShawn M Keller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063048940
PECOS PAC ID: 9335568369
Enrollment ID: I20200924002194
Provider NameSunanda Kotapuri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669996658
PECOS PAC ID: 9133535552
Enrollment ID: I20210310001126
Provider NameTina Kauderer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366763468
PECOS PAC ID: 4688960610
Enrollment ID: I20210607002767
Provider NameMichelle Guidry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699424523
PECOS PAC ID: 8921487307
Enrollment ID: I20220615000002
Provider NameTori M Guidry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497497119
PECOS PAC ID: 5991184822
Enrollment ID: I20220622002997

Reviews and Comments


Clinic/Center in Thibodaux, LA

Bayou Healthcare Services, Llc
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Practice Location: 201 W 7th St Ste 7, Thibodaux, LA 70301
Phone: 985-228-6223    Fax: 985-228-6230
Family Doctor Clinic Drs Harris & Magee A Medical Corporation
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Medicare: Not Enrolled in Medicare
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Phone: 985-446-2680    
Ochsner Urgent Care - Thibodaux
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Phone: 985-446-5210    
Life Coast Community Health Center Inc
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Medicare: Medicare Enrolled
Practice Location: 1101 Audubon Ave Ste S1, Thibodaux, LA 70301
Phone: 985-492-6170    
Texas Digestive Disease Consultants, Pllc
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Medicare: Medicare Enrolled
Practice Location: 764 North Acadia Road, Suite A, Thibodaux, LA 70301
Phone: 985-446-1958    Fax: 985-446-0121
Thibodaux Regional Endocrinology Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 726 N Acadia Rd, Ste 3300, Thibodaux, LA 70301
Phone: 985-493-3080    Fax: 985-493-4007

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.