| Kelly Eaton Boussert, MD | |
|
8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 | |
| (225) 924-2424 | |
| (225) 408-7980 |
| Full Name | Kelly Eaton Boussert |
|---|---|
| Gender | Female |
| Speciality | Interventional Pain Management |
| Experience | 16 Years |
| Location | 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, 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 |
|---|---|---|---|
| 1679717136 | NPI | - | NPPES |
| 1883450 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | MD.207144 (Louisiana) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | MD.207144 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baton Rouge General Medical Center | Baton rouge, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baton Rouge Orthopaedic Clinic Llc | 3274446414 | 138 |
| Entity Name | Baton Rouge Orthopaedic Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770503690 PECOS PAC ID: 3274446414 Enrollment ID: O20031112000509 |
| Entity Name | Advanced Pain Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790976975 PECOS PAC ID: 0345332375 Enrollment ID: O20070822001309 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Eaton Boussert, MD 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 Ph: (225) 924-2424 | Kelly Eaton Boussert, MD 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 Ph: (225) 924-2424 |
Dr. Jihad G Jiha, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 5408 Flanders Dr, Baton Rouge, LA 70808 Phone: 225-769-5554 Fax: 225-769-5502 | |
Dr. John Braswell, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 5408 Flanders Dr, Baton Rouge, LA 70808 Phone: 225-769-5554 Fax: 225-769-5502 | |
Dr. John Michael Burdine, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 5408 Flanders Dr, Baton Rouge, LA 70808 Phone: 225-769-5554 Fax: 225-769-5502 | |
Allison Gray Walker, PA - C Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 5408 Flanders Dr, Baton Rouge, LA 70808 Phone: 225-769-5554 Fax: 225-769-5502 | |
Dr. Arnold Erwin Feldman, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 505 E Airport Ave, Baton Rouge, LA 70806 Phone: 225-201-0950 Fax: 225-201-9948 | |
Dr. John Clifton Crosby, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4580 Bluebonnet Blvd, Baton Rouge, LA 70809 Phone: 504-754-2334 | |
Dr. Joseph W Turnipseed, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 5408 Flanders Dr, Baton Rouge, LA 70808 Phone: 225-769-5554 Fax: 225-769-5502 |