Courtney Vice Habetz (NPI# 1235268293, PAC ID# 9638262207) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1235268293 |
| PAC ID by PECOS | 9638262207 |
| Professional Enrollment ID | I20070912000757 |
| Full Name | Courtney Vice Habetz |
| Organization Legal Name | PEDIATRIC GROUP OF ACADIANA, LLC |
| Address |
520 N Lewis St Suite 202 New Iberia LA 70563-2094 |
| Phone Number | 3372565466229 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2466476023 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 520 N Lewis St, Suite 202, New Iberia, LA 70563-2094 | 3372565466229 | PEDIATRIC GROUP OF ACADIANA, LLC |
| 1119 N Main St, Saint Martinville, LA 70582-3513 | 3373947774 | PEDIATRIC GROUP OF ACADIANA, LLC |
| Organization Legal Name | PEDIATRIC GROUP OF ACADIANA, LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaelyn Michelle Hebert | Nurse Practitioner | Pediatric Group of Acadiana, LLC | 520 N Lewis St, Suite 202, New Iberia, LA 70563-2094 |
| Srinivasa Yerasi | Pediatric Medicine | Pediatric Group of Acadiana, LLC | 555 Lakes Blvd, Breaux Bridge, LA 70517-3240 |
| Alison T Cantrall | Nurse Practitioner | Pediatric Group of Acadiana, LLC | 401 Youngsville Hwy, Suite 200b, Lafayette, LA 70508-5173 |
| Shawntel Marie Moore | Nurse Practitioner | Pediatric Group of Acadiana, LLC | 401 Youngsville Hwy, Suite 100, Lafayette, LA 70508-5173 |
| Jamie B St. Romain | Nurse Practitioner | Pediatric Group of Acadiana, LLC | 520 N Lewis St, Suite 202, New Iberia, LA 70563-2094 |
| Jibran E Atwi | Pediatric Medicine | Pediatric Group of Acadiana, LLC | 401 Youngsville Hwy, Suite 100, Lafayette, LA 70508-5173 |
| Durga P Naidu | Pediatric Medicine | Pediatric Group of Acadiana, LLC | 401 Youngsville Hwy, Suite 100, Lafayette, LA 70508-5173 |
| Sai Sudhakar Chennamsetty | Internal Medicine | Pediatric Group of Acadiana, LLC | 401 Youngsville Hwy, Suite 100, Lafayette, LA 70508-5173 |
| Suguna Veeramachineni | Internal Medicine | Pediatric Group of Acadiana, LLC | 401 Youngsville Hwy, Suite 200b, Lafayette, LA 70508-5173 |
| Cynthia M Beverly | Nurse Practitioner | Pediatric Group of Acadiana, LLC | 401 Youngsville Hwy, Suite 100, Lafayette, LA 70508-5173 |
| Street Address |
520 N LEWIS ST SUITE 202 |
| City | NEW IBERIA |
| State | LA |
| Zip | 70563-2094 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaelyn Michelle Hebert | Nurse Practitioner | Pediatric Group of Acadiana, LLC | 520 N Lewis St, Suite 202, New Iberia, LA 70563-2094 |
| Kimberly R Smith | Internal Medicine | 520 N Lewis St, Suite 100, New Iberia, LA 70563-2094 | |
| Jamie B St. Romain | Nurse Practitioner | Pediatric Group of Acadiana, LLC | 520 N Lewis St, Suite 202, New Iberia, LA 70563-2094 |
| Storie Melancon | Nurse Practitioner | Pediatric Group of Acadiana, LLC | 520 N Lewis St, Suite 202, New Iberia, LA 70563-2094 |
| Eugene Y Achi | Neurology | Pediatric Group of Acadiana, LLC | 520 N Lewis St, New Iberia, LA 70563-2094 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan D Granger | Optometry | 1110 Angers St, New Iberia, LA 70563-2012 | |
| Vina S Baker | Internal Medicine | 602 N Lewis Ave, Suite 100, New Iberia, LA 70563-2014 | |
| Julian J Krawczyk | Radiation Oncology | Acadiana Radiation Therapy LLC | 525 N Lewis St, New Iberia, LA 70563-2015 |
| John F. Anderson | Radiation Oncology | Acadiana Radiation Therapy LLC | 525 N Lewis St, New Iberia, LA 70563-2015 |
| Stephen R Wilt | Radiation Oncology | Acadiana Radiation Therapy LLC | 525 N Lewis St, New Iberia, LA 70563-2015 |
| Jonathan W Thompson | Radiation Oncology | Acadiana Radiation Therapy LLC | 525 N Lewis St, New Iberia, LA 70563-2015 |
| Charles R Reinninger | Radiation Oncology | Acadiana Radiation Therapy LLC | 525 N Lewis St, New Iberia, LA 70563-2015 |
| Daniel M Bitner | Anesthesiology | Youngs Professional Services LLC | 600 N Lewis St, Anesthesia Dept, New Iberia, LA 70563-2043 |
| Joseph R Bozzelle | Physical Medicine and Rehabilitation | Southern Louisiana Rehab LLC | 600 N Lewis Ave, New Iberia, LA 70563-2043 |
| Shane T Broussard | Physician Assistant | Southern Louisiana Rehab LLC | 600 N Lewis Ave, New Iberia, LA 70563-2043 |
| Find all physicians in zip 70563 | |||
| City | NEW IBERIA |
| Zip Code | 70563 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NEW IBERIA + PHYSICIAN ASSISTANT |
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| 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.