Individual provider Active NPI

Monique B Blanchard, P.A.

  • Medical Physician Assistant
  • Houma, LA
National Provider Identifier
1649277047
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
A10451L Issued in LA
Practice address
327 Bayou Gardens Blvd.
Houma, LA 70360
Phone
(985) 876-5000
Fax
(985) 876-5280
NPI assigned
Jun 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X A10451L LA Primary

Addresses

Primary practice location

327 Bayou Gardens Blvd.
Houma, LA 70360

Mailing address

327 Bayou Gardens Blvd.
Houma, LA 70360
Phone (985) 876-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050212000018 LA Practitioner - Physician Assistant 6204888795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grafton Dermatology and Cosmetic SurgeryGroup PAC ID 8123085248, 6 clinicians

Practice addresses (Care Compare)

1253 Canal Blvd
Thibodaux, LA 70301-4543
Phone (985) 876-5000

327 Bayou Gardens Blvd
Houma, LA 70364-1434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
A10451LLAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grafton Dermatology PastSince Jan 1, 1990 Accepting new patients
Tamela L Marca Charbonnet MD/Lee H Grafton MD PastSince Jan 1, 1990 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: referral.monique@graftonderm.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1649277047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 BAYOU GARDENS BLVD.",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70360",
            "telephone_number": "985-876-5000",
            "fax_number": "985-876-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BAYOU GARDENS BLVD.",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70360",
            "telephone_number": "985-876-5000",
            "fax_number": "985-876-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "MONIQUE",
        "middle_name": "B",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "A10451L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.