Active NPI
Monique B Blanchard, P.A.
- Medical Physician Assistant
- Houma, LA
National Provider Identifier
1649277047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- A10451L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A10451L | LA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grafton Dermatology | Past | Accepting new patients | |
| Tamela L Marca Charbonnet MD/Lee H Grafton MD | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Specialist
- Houma, LA
- NPI 1053400416
-
- Non-Pharmacy Dispensing Site
- Houma, LA
- NPI 1962501726
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.