| Kellie Bourg Paddy, APRN | |
|
931 Verone Ter, Leesville, LA 71446-4272 | |
| (337) 404-1708 | |
| (337) 404-1709 |
| Full Name | Kellie Bourg Paddy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 931 Verone Ter, Leesville, 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 |
|---|---|---|---|
| 1154564169 | NPI | - | NPPES |
| 2572555 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | RN105307-AP05784 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beauregard Memorial Hospital | Deridder, LA | Hospital |
| Byrd Regional Hospital | Leesville, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Louisiana Health Services Inc | 5799680245 | 8 |
| Beauregard Urology Center, Llc | 6709018575 | 2 |
| Entity Name | Beauregard Medical And Surgical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326348962 PECOS PAC ID: 6709066541 Enrollment ID: O20110210000569 |
| Entity Name | Beauregard Women's Health Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801196498 PECOS PAC ID: 9234319955 Enrollment ID: O20110211000421 |
| Entity Name | West Louisiana Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164985495 PECOS PAC ID: 5799680245 Enrollment ID: O20110216000789 |
| Entity Name | Beauregard Internal Medicine Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588964175 PECOS PAC ID: 7113100801 Enrollment ID: O20110317000340 |
| Entity Name | Beauregard Family Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326387705 PECOS PAC ID: 3577709708 Enrollment ID: O20130413000098 |
| Entity Name | Beauregard Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083043806 PECOS PAC ID: 2062642291 Enrollment ID: O20140307000745 |
| Entity Name | Beauregard Urology Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891124384 PECOS PAC ID: 6709018575 Enrollment ID: O20140409001629 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Bourg Paddy, APRN Po Box 730, Deridder, LA 70634-0730 Ph: (337) 462-7138 | Kellie Bourg Paddy, APRN 931 Verone Ter, Leesville, LA 71446-4272 Ph: (337) 404-1708 |
Carrie Ormsby, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 S 3rd St, Leesville, LA 71446 Phone: 337-404-4075 | |
Miss Decora R Franklin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 929 Verone Ter, Leesville, LA 71446 Phone: 337-282-1091 Fax: 337-404-1461 | |
Joely Thornhill Schroder, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1603 Boone St Ste A, Leesville, LA 71446 Phone: 337-238-1274 | |
Nichole Baucan, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 298 Nolan Trce, Leesville, LA 71446 Phone: 337-392-0110 Fax: 337-392-0111 | |
Brooklynn Grace Ledet, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 506 S 6th St, Leesville, LA 71446 Phone: 337-239-2992 | |
Mrs. Jennifer B Carlock, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1100 Nolan Trace, Leesville, LA 71446 Phone: 337-238-5180 Fax: 337-238-4840 |