| Dr Kevin John Bordelon, MD | |
|
4239 Highway 1192, Suite 200, Marksville, LA 71351-4771 | |
| (318) 253-8600 | |
| (318) 253-8654 |
| Full Name | Dr Kevin John Bordelon |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 4239 Highway 1192, Marksville, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972506491 | NPI | - | NPPES |
| 1541729 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 023281 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central La Home Health Care, Llc | Alexandria, LA | Home health agency |
| Lagniappe Homecare Alexandria | Alexandria, LA | Home health agency |
| Kindred At Home | Alexandria, LA | Home health agency |
| Avoyelles Hospital | Marksville, LA | Hospital |
| Christus St Frances Cabrini Hospital | Alexandria, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clhg-avoyelles Llc | 8921380528 | 43 |
| Entity Name | Avoyelles Adult Care A Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174681647 PECOS PAC ID: 2365592946 Enrollment ID: O20090603000336 |
| Entity Name | Hawkeye Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952630360 PECOS PAC ID: 9032254685 Enrollment ID: O20100306000295 |
| Entity Name | Clhg-avoyelles Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639618853 PECOS PAC ID: 8921380528 Enrollment ID: O20180828001494 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin John Bordelon, MD 4239 Highway 1192, Suite 200, Marksville, LA 71351-4771 Ph: (318) 253-8600 | Dr Kevin John Bordelon, MD 4239 Highway 1192, Suite 200, Marksville, LA 71351-4771 Ph: (318) 253-8600 |
Dr. Elias Raymond Mounayar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 338 Moreau St, Suite D, Marksville, LA 71351 Phone: 318-253-5600 Fax: 318-253-5602 | |
Mr. Anthony M Amigo, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 338 Moreau St, Marksville, LA 71351 Phone: 318-253-5647 Fax: 318-253-5876 |