Donald S Gervais Jr.
NEURO DIAGNOSTIC MONITORING, LLC


Address: 106 Amaryllis Dr, Lafayette, LA 70503-3215
Phone: 3374060883

Donald S Gervais Jr. (NPI# 1750387676, PAC ID# 6608947999) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.

Physician Overview

Nation Provider ID (NPI) 1750387676
PAC ID by PECOS 6608947999
Professional Enrollment ID I20100903000477
Full Name Donald S Gervais Jr.
Organization Legal Name NEURO DIAGNOSTIC MONITORING, LLC
Address 106 Amaryllis Dr
Lafayette
LA 70503-3215
Phone Number 3374060883
Gender M
Medical School LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year 1995
Primary Specialty NEUROLOGY
Group Practice PAC ID 5698939841
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190008 TERREBONNE GENERAL MEDICAL CENTER
190102 OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC
190255 PARK PLACE SURGICAL HOSPITAL

Other Locations

Address Phone Organization
128 Neuroscience Ct, Gray, LA 70359-5209 9859173007 SOUTHEAST NEUROSCIENCE CENTER, LLC
106 Amaryllis Dr, Lafayette, LA 70503-3215 3374060883 NEURO DIAGNOSTIC MONITORING, LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name NEURO DIAGNOSTIC MONITORING, LLC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Jessica L Babineaux Physical Medicine and Rehabilitation Neuro Diagnostic Monitoring, LLC 106 Amaryllis Dr, Lafayette, LA 70503-3215

Office Location

Street Address 106 AMARYLLIS DR
City LAFAYETTE
State LA
Zip 70503-3215

Physicians in the same location

Name Specialty Organization Address
Jessica L Babineaux Physical Medicine and Rehabilitation Neuro Diagnostic Monitoring, LLC 106 Amaryllis Dr, Lafayette, LA 70503-3215

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Name Specialty Organization Address
Byrnes E Tatford Physical Therapy Mts-lgh Therapy Services LLC 111 Pasa Place, Lafayette, LA 70503
John M Bienvenu Physical Therapy Mts-lgh Therapy Services LLC 111 Pasa Place, Lafayette, LA 70503
Zachary J Mire Physical Therapy Acadiana Physical Therapy, Inc 816 Harding St, Lafayette, LA 70503-2320
Kerry J.c Hoffpauir Physical Therapy Acadiana Physical Therapy, Inc 816 Harding St, Lafayette, LA 70503-2320
Rodi L Aucoin Physical Therapy Acadiana Physical Therapy, Inc 816 Harding St, Lafayette, LA 70503-2320
Jeffrey T Faber Physical Therapy Acadiana Physical Therapy, Inc 816 Harding St, Lafayette, LA 70503-2320
Francesca Marie Marino Chiropractic Leblanc Spine and Nerve, LLC 1014 Auburn Ave, Lafayette, LA 70503-2360
Jiles P Leblanc Chiropractic Leblanc Spine and Nerve, LLC 1014 Auburn Ave, Lafayette, LA 70503-2360
Christopher B Davis Physical Therapy Pain and Performance Rehab Inc 325 Oil Ctr Dr, Lafayette, LA 70503-2419
Derrick Hines Physical Therapy Pain and Performance Rehab Inc 325 Oil Ctr Dr, Lafayette, LA 70503-2419
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Competitor

Search similar physicians

City LAFAYETTE
Zip Code 70503
Specialty NEUROLOGY
City + Specialty LAFAYETTE + NEUROLOGY

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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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