| Angela D Kennerly, FNP-C | |
|
213 W Main St, New Roads, LA 70760-3511 | |
| (225) 242-9162 | |
| (833) 972-7844 |
| Full Name | Angela D Kennerly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 213 W Main St, New Roads, 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 |
|---|---|---|---|
| 1275249088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 229265 (Louisiana) | Primary |
| 207Q00000X | Family Medicine | 229265 (Louisiana) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Louisiana Stat Care Llc | 3870028491 | 12 |
| Entity Name | New Roads Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366204182 PECOS PAC ID: 0143662825 Enrollment ID: O20240527000427 |
| Entity Name | Louisiana Stat Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891517512 PECOS PAC ID: 3870028491 Enrollment ID: O20241119004702 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela D Kennerly, FNP-C Po Box 477, Geismar, LA 70734-0477 Ph: (225) 242-9162 | Angela D Kennerly, FNP-C 213 W Main St, New Roads, LA 70760-3511 Ph: (225) 242-9162 |
Dr. Naydean Lashon Ruffin-brisco, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9282 Delta Place Rd, New Roads, LA 70760 Phone: 225-242-9751 | |
Tonette Harris-haynes, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 230 Roberts Dr Ste H, New Roads, LA 70760 Phone: 225-618-7800 Fax: 225-238-8330 | |
Elizabeth Carol Berrigan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 W Main St, New Roads, LA 70760 Phone: 225-242-9162 Fax: 833-972-7844 | |
Ashley Territo Pourciau, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 Durel Dr, New Roads, LA 70760 Phone: 225-713-2400 Fax: 225-713-2405 | |
Mrs. Ashley Schiro Laurent, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 230 Roberts Dr Ste I, New Roads, LA 70760 Phone: 225-638-4585 | |
Caroline Stagg, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 Roberts Dr Ste B, New Roads, LA 70760 Phone: 225-618-4590 Fax: 225-618-4591 |