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THIBODEAUX MEDICAL CLINIC OF DEQUINCY
NPI 1619823820
Family Medicine in Dequincy, LA

Active since March 09, 2026
810 E FOURTH ST, DEQUINCY, LA 70633(337) 265-1180(337) 265-1181 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2026, Apr 6, 2026, Mar 9, 2026 (3 updates tracked since 2026).

About Thibodeaux Medical Clinic Of Dequincy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THIBODEAUX MEDICAL CLINIC OF DEQUINCY (NPI 1619823820) is a healthcare organization registered as a family medicine in Dequincy, Louisiana and active in the NPI registry since March 2026. The organization lists Derrick Thibodeaux, Owner, as its authorized official.

NPPES Registry Identity

NPI1619823820
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHIBODEAUX MEDICAL CLINIC OF DEQUINCY
Location Address810 E FOURTH STDequincy, LA 70633-3708
Mailing Address810 E Fourth StDequincy, LA 70633-3708 · (337) 265-1180 · Fax (337) 265-1181
Phone(337) 265-1180
Fax(337) 265-1181
Organization SubpartNo
Authorized OfficialDerrick ThibodeauxOwner · (337) 265-1180
Enumeration DateMarch 9, 2026
Last NPPES UpdateApril 21, 20263 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1619823820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
810 E FOURTH ST, Dequincy, LA 70633
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thibodeaux Medical Clinic Of Dequincy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Thibodeaux Medical Clinic Of Dequincy, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Hanna Goodwin
Nurse Practitioner
NPI 1992538458
601 DR MICHAEL DEBAKEY DR
Lake Charles, LA 70601
(337) 436-1370
✔ PECOS✔ Accepts Medicare20 mi
Derrick Thibodeaux, N.P.
Nurse Practitioner
NPI 1659762839
1303 HORRIDGE ST
Vinton, LA 70668
(337) 324-8060
✔ PECOS✔ Accepts Medicare20 mi
Bonnie Spellman, FNP-C
Nurse Practitioner
NPI 1902689011
2014 W PINHOOK RD
Lafayette, LA 70508
(337) 806-7373
✔ PECOS✔ Accepts Medicare87 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thibodeaux Medical Clinic Of Dequincy's NPI number?

The NPI number for Thibodeaux Medical Clinic Of Dequincy is 1619823820. It was assigned to this organization in the NPPES registry on March 9, 2026.

Where is Thibodeaux Medical Clinic Of Dequincy located?

Thibodeaux Medical Clinic Of Dequincy is located at 810 E Fourth St, Dequincy, LA 70633. The listed phone number is (337) 265-1180.

What is Thibodeaux Medical Clinic Of Dequincy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thibodeaux Medical Clinic Of Dequincy enrolled in Medicare?

Yes. Thibodeaux Medical Clinic Of Dequincy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thibodeaux Medical Clinic Of Dequincy?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Thibodeaux Medical Clinic Of Dequincy. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Thibodeaux Medical Clinic Of Dequincy accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Thibodeaux Medical Clinic Of Dequincy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thibodeaux Medical Clinic Of Dequincy was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.