| Brittany Elaine Kelly, PA | |
|
8731 Park Plaza Dr, Shreveport, LA 71105-5682 | |
| (318) 797-5848 | |
| (318) 797-5844 |
| Full Name | Brittany Elaine Kelly |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 8731 Park Plaza Dr, Shreveport, 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 |
|---|---|---|---|
| 1164975959 | NPI | - | NPPES |
| 13922838 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 303569 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Shreveport-bossier Health System | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hulin Urgent Care Services Llc | 6800051285 | 135 |
| Coastal Urgent Care, Llc | 8729138896 | 50 |
| Christus Trinity Clinic Texas | 3072426741 | 1540 |
| Arklatex Medical Consultants A Medical Corporation | 5597001099 | 16 |
| Entity Name | Coastal Urgent Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568601425 PECOS PAC ID: 8729138896 Enrollment ID: O20090611000042 |
| Entity Name | Hulin Urgent Care Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699049262 PECOS PAC ID: 6800051285 Enrollment ID: O20120710000537 |
| Entity Name | Arklatex Medical Consultants a Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710466628 PECOS PAC ID: 5597001099 Enrollment ID: O20190103002111 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20200910000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Brittany Elaine Kelly, PA 8731 Park Plaza Dr, Shreveport, LA 71105-5682 Ph: (318) 797-5848 | Brittany Elaine Kelly, PA 8731 Park Plaza Dr, Shreveport, LA 71105-5682 Ph: (318) 797-5848 |
Tate James Perque, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1453 E Bert Kouns Industrial Loop Ste 318, Shreveport, LA 71105 Phone: 318-681-1968 Fax: 318-681-1969 |
Jennifer B Cypher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 |
Mrs. Kristi Harrison Gaspard, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8383 Millicent Way, Shreveport, LA 71115 Phone: 318-797-6661 Fax: 318-795-8512 |
Susan Lenora Steen, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Neurosurgery, Shreveport, LA 71103 Phone: 318-675-6901 Fax: 318-675-4819 |
Jeanette Catherine Pang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7925 Youree Dr Ste 200, Shreveport, LA 71105 Phone: 318-212-3610 Fax: 318-212-3709 |
Dakota Shayne Barlow, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1811 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105 Phone: 318-212-3858 Fax: 318-212-3958 |
Heather Vogel, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 337-515-2538 |