| Kimberly Dawn Cagle, FNP | |
|
1416 Gobbler Head Dr, Bogalusa, LA 70427-6091 | |
| (985) 730-6970 | |
| (985) 735-8883 |
| Full Name | Kimberly Dawn Cagle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1416 Gobbler Head Dr, Bogalusa, 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 |
|---|---|---|---|
| 1790450773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 904652 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 221829 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Forrest General Hospital | Hattiesburg, MS | Hospital |
| St Bernard Parish Hospital | Chalmette, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Bernard Emergency Group, Llc | 4789960972 | 19 |
| Our Lady Of The Angels Hospital Inc | 7012144322 | 74 |
| Medical Systems Management, Llc | 5092964643 | 36 |
| Hattiesburg Clinic Pa | 5193706794 | 492 |
| Entity Name | Our Lady Of The Lake Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
| Entity Name | Our Lady Of The Angels Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912334533 PECOS PAC ID: 7012144322 Enrollment ID: O20140602000869 |
| Entity Name | St Tammany Emergency Physicians Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891187654 PECOS PAC ID: 7214255967 Enrollment ID: O20150409001843 |
| Entity Name | Washington Parish Emergency Physicians Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538511043 PECOS PAC ID: 4284928094 Enrollment ID: O20160802001165 |
| Entity Name | St. Bernard Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306386685 PECOS PAC ID: 4789960972 Enrollment ID: O20170425001231 |
| Entity Name | Riverside Emergency Physician Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083107080 PECOS PAC ID: 0042568917 Enrollment ID: O20180809000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Dawn Cagle, FNP 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (985) 730-6970 | Kimberly Dawn Cagle, FNP 1416 Gobbler Head Dr, Bogalusa, LA 70427-6091 Ph: (985) 730-6970 |
Elizabeth Michelle Fitzgerald, FNP-C, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 Avenue F, Bogalusa, LA 70427 Phone: 985-730-6970 | |
Mr. Alvin Gene Williams, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2781 S Columbia St, Bogalusa, LA 70427 Phone: 985-241-5525 Fax: 985-241-5530 | |
Ms. Lisa Penton Mejia, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 433 Plaza St Ste 38, Bogalusa, LA 70427 Phone: 987-730-2284 Fax: 985-730-2305 | |
Dawn Malcom, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Avenue B, Suite B, Bogalusa, LA 70427 Phone: 985-730-6950 Fax: 985-545-1036 | |
Jacqueline Baudier Walter, PNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 626 Superior Ave, Bogalusa, LA 70427 Phone: 985-730-6670 Fax: 985-730-6671 | |
Jessica Oalmann Manchester, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 433 Plaza St, Bogalusa, LA 70427 Phone: 877-485-4474 | |
Patti C. Wascom, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 433 Plaza St Ste 2a, Bogalusa, LA 70427 Phone: 985-730-7020 Fax: 985-730-7022 |