Blake Larose, FNP - Medicare Nurse Practitioner in Thibodaux, LA

Blake Larose, FNP is a medicare enrolled "Nurse Practitioner - Family" in Thibodaux, Louisiana. His current practice location is 400 N Acadia Rd, Thibodaux, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 493-4004.

Blake Larose is licensed to practice in Louisiana (license number 201963) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366129769.

Contact Information

Blake Larose, FNP
400 N Acadia Rd,
Thibodaux, LA 70301-4856
(985) 493-4004
Not Available



Provider's Profile

Full NameBlake Larose
GenderMale
SpecialityNurse Practitioner - Family
Location400 N Acadia Rd, Thibodaux, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366129769
  • Provider Enumeration Date: 06/28/2023
  • Last Update Date: 06/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7315301462
  • Enrollment ID: I20230908000205

Medical Identifiers

Medical identifiers for Blake Larose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366129769NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 201963 (Louisiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Blake Larose allows following entities to bill medicare on his behalf.
Entity NameThibodaux Regional Network Development Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285658310
PECOS PAC ID: 8224011754
Enrollment ID: O20040608000132

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› Verified 1 days ago

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Blake Larose is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Blake Larose, FNP
118 Rue Celeste,
Thibodaux, LA 70301-5007

Ph: (985) 803-0638
Blake Larose, FNP
400 N Acadia Rd,
Thibodaux, LA 70301-4856

Ph: (985) 493-4004

News Archive

Soft drink consumers exposed to unnecessary cancer risk

Public health researchers have analyzed soda consumption data in order to characterize people's exposure to a potentially carcinogenic byproduct of some types of caramel color. Caramel color is a common ingredient in colas and other dark soft drinks. The results show that between 44 and 58 percent of people over the age of six typically have at least one can of soda per day, possibly more, potentially exposing them to 4-methylimidazole (4-MEI), a possible human carcinogen formed during the manufacture of some kinds of caramel color.

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› Verified 1 days ago


Nurse Practitioner Nurses in Thibodaux, LA

Rebecca Ann Melancon, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301
Phone: 985-447-5500    
Mrs. Emily Rivet Landry, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1320 Martin Luther King Dr, Thibodaux, LA 70301
Phone: 985-446-2021    Fax: 985-446-1546
Candice Eschete,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301
Phone: 985-493-4727    
Champ Phuphanich, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 305 E 1st St, Thibodaux, LA 70301
Phone: 985-228-6028    
Nicholas S Fuglaar, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2031 Audubon Ave, Thibodaux, LA 70301
Phone: 985-803-8383    
Ms. Sandra Lee Brommeland Gonzalez, APRN-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1101 Audubon Ave, Thibodaux, LA 70301
Phone: 985-857-3615    Fax: 941-295-7336
Mrs. Darian Scurlock Rousse, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 404 N Acadia Rd, Thibodaux, LA 70301
Phone: 985-447-3889    

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