| Dr Kelly Marie Fuqua, MD | |
|
920 1st Ave, Sulphur, LA 70663-3425 | |
| (337) 527-7034 | |
| Not Available |
| Full Name | Dr Kelly Marie Fuqua |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 920 1st Ave, Sulphur, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861667297 | NPI | - | NPPES |
| 1072907 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200962 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Calcasieu Cameron Hospital Hha | Sulphur, LA | Home health agency |
| Heart Of Hospice | Lake charles, LA | Hospice |
| West Calcasieu Cameron Hospital | Sulphur, LA | Hospital |
| Dequincy Memorial Hospital | Dequincy, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Calcasieu Cameron Hospital Service District | 1052221447 | 43 |
| Entity Name | Calcasieu Cameron Hospital Service District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093719932 PECOS PAC ID: 1052221447 Enrollment ID: O20081104000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly Marie Fuqua, MD 3659 W Weatherby Dr, Sulphur, LA 70665-8719 Ph: () - | Dr Kelly Marie Fuqua, MD 920 1st Ave, Sulphur, LA 70663-3425 Ph: (337) 527-7034 |
Dr. Maureen Rose Lannan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 622 Cypress St, Sulphur, LA 70663 Phone: 337-527-2491 Fax: 337-528-2749 | |
Rebecca Braud, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1327 Stelly Ln Ste 3, Sulphur, LA 70663 Phone: 337-528-7316 Fax: 337-528-7884 | |
Jose Mauricio Gonzales, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2509 Maplewood Dr., Sulphur, LA 70663 Phone: 337-625-0341 Fax: 337-625-0347 | |
Dr. Marne' Eve Devillier, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3702 Maplewood Dr, Sulphur, LA 70663 Phone: 337-625-5459 Fax: 337-626-2045 | |
Dr. Tammy Mitchell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 S Cities Service Hwy, Sulphur, LA 70663 Phone: 337-287-4820 | |
Brian Wayne Stewart, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2509 Maplewood Dr, Sulphur, LA 70663 Phone: 337-625-0341 Fax: 337-625-0347 | |
Dr. Roger G Grimball, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 920 1st Ave, Sulphur, LA 70663 Phone: 337-527-6301 Fax: 337-527-9194 |