NPIMap

Thibodaux Laser and Surgery Center, LLC

A Medicare group practice based in Thibodaux, LA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5991795486), with 11 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5991795486The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
Enrolled in
LA
Enrollments
2
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040517000339 LA Part B Supplier - Clinic/Group Practice 1275535148
O20040517000703 LA Part B Supplier - Ambulatory Surgical Center 1073505616

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 11

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (6).

Sources for this page