Adrienne Chanelle Robertson
ABUNDANT HEALTH MEDICAL CLINIC LLC


Address: 1001 Jackson St, Thibodaux, LA 70301-3227
Phone: 9854929111

Adrienne Chanelle Robertson (NPI# 1871792051, PAC ID# 6204020126) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1871792051
PAC ID by PECOS 6204020126
Professional Enrollment ID I20140828001428
Full Name Adrienne Chanelle Robertson
Organization Legal Name ABUNDANT HEALTH MEDICAL CLINIC LLC
Address 1001 Jackson St
Thibodaux
LA 70301-3227
Phone Number 9854929111
Gender F
Medical School UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year 2007
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 5092014944
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190004 THIBODAUX REGIONAL MEDICAL CENTER
190008 TERREBONNE GENERAL MEDICAL CENTER

Other Locations

Address Phone Organization
1001 Jackson St, Thibodaux, LA 70301-3227 9854929111 ABUNDANT HEALTH MEDICAL CLINIC LLC

Organization Information

Organization Legal Name ABUNDANT HEALTH MEDICAL CLINIC LLC
Physicians 1

Office Location

Street Address 1001 JACKSON ST
City THIBODAUX
State LA
Zip 70301-3227

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Jenaye M Deroche Optometry Mitchell Eye Care Associates, L.L.C. 425 Saint Mary St, Thibodaux, LA 70301-2641
David Mitchell Optometry Mitchell Eye Care Associates, L.L.C. 425 Saint Mary St, Thibodaux, LA 70301-2641
Jared S Thurston Ophthalmology 302 Ridgefield Rd, Thibodaux, LA 70301-2724
Charles L Seaman Optometry 907 Ridgefield Rd, Thibodaux, LA 70301-2843
Jeffrey Edward Aycock Oral Surgery Oral-facial Surgery Center Apc 923 Ridgefield Rd, Thibodaux, LA 70301-2844
Deidre A Boults Nurse Practitioner Minuteclinic Diagnostic of Louisiana, L.L.C. 201 N Canal Blvd, Thibodaux, LA 70301-2910
Kryshonda Y Alleyne Nurse Practitioner Minuteclinic Diagnostic of Louisiana, L.L.C. 201 N Canal Blvd, Thibodaux, LA 70301-2910
Melissa Lepine Nurse Practitioner Minuteclinic Diagnostic of Louisiana, L.L.C. 201 N Canal Blvd, Thibodaux, LA 70301-2910
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Competitor

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City THIBODAUX
Zip Code 70301
Specialty FAMILY PRACTICE
City + Specialty THIBODAUX + FAMILY PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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