Wendy Suddeth Gervais, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD.023887 Issued in LA

Practice address

128 Neuroscience CT
Gray, LA 70359-5209

Phone

(985) 917-3007

Fax

(985) 917-3010

NPI assigned

Oct 30, 2006

Sex

Female

Sole proprietor

No

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.

• Southeast Neuroscience Center, LLC

  • Specialist
  • Gray, LA
  • NPI 1285630129

  LA

  Medicare reassignment Care Compare group
• Southeast Neuroscience Center, LLC

  • Medical Specialty Clinic/Center
  • Houma, LA
  • NPI 1366820367
  NPD (past)

Specialty

Diagnostic Radiology

Education

Louisiana State University School of Medicine in New Orleans, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Neuroscience Center, LLC 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2016.

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1750467007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4051",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703614051",
            "telephone_number": "985-917-3007",
            "fax_number": "985-851-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 NEUROSCIENCE CT",
            "city": "GRAY",
            "state": "LA",
            "postal_code": "703595209",
            "telephone_number": "985-917-3007",
            "fax_number": "985-917-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERVAIS",
        "first_name": "WENDY",
        "middle_name": "SUDDETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-30",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.023887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48599",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Exceeds Their Needs, Inc
• Exceeds Their Needs, Inc.
• Exceeds Their Needs, Inc.
• First Class Exquisite Transportation LLC
• Donald Severinus Gervais Jr., M.D.
• Rodney Joseph Gisclair Jr., CRNA
• Andrea Gomez
• Kami Hebert Grob, M.S.
• Edward Stewart Haight, M.D.
• Michelle M Harris, CRNA

• All providers in Gray, LA
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.

Verify at the official NPI Registry.