| Carly Bourgeois, | |
|
6300 Main St, Zachary, LA 70791-4037 | |
| (225) 765-7163 | |
| Not Available |
| Full Name | Carly Bourgeois |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 6300 Main St, Zachary, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154095479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 328269 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Bourgeois, 6300 Main St, Zachary, LA 70791-4037 Ph: (225) 765-7163 | Carly Bourgeois, 6300 Main St, Zachary, LA 70791-4037 Ph: (225) 765-7163 |
Ms. Kristen Elizabeth Hebert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20474 Old Scenic Hwy, Zachary, LA 70791 Phone: 225-654-1124 Fax: 225-654-7079 | |
Mrs. Agnes Mckowen Collins, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18989 Old Scenic Hwy, Zachary, LA 70791 Phone: 225-654-8850 | |
Michelle Raetzsch, P.A.C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 6300 Main St, Zachary, LA 70791 Phone: 225-658-4174 | |
Victoria Cannon D'aquin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20474 Old Scenic Hwy, Zachary, LA 70791 Phone: 225-654-1124 Fax: 225-654-7079 | |
Leah Mcmorris, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4845 Main St, Suite B1, Zachary, LA 70791 Phone: 225-761-5597 Fax: 225-761-5270 | |
Sy Quoc Dupre, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4801 Mchugh Road, Suite C, Zachary, LA 70791 Phone: 225-658-9996 Fax: 225-658-9970 |