| Kylan Poullard, | |
|
3311 Prescott Rd Ste 415, Alexandria, LA 71301-3985 | |
| (318) 528-4455 | |
| (318) 528-4466 |
| Full Name | Kylan Poullard |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 3311 Prescott Rd Ste 415, Alexandria, 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 |
|---|---|---|---|
| 1780268516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363A00000X | Physician Assistant | 327294 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus St Frances Cabrini Hospital | Alexandria, LA | Hospital |
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Trinity Clinic Texas | 3072426741 | 1540 |
| Dm Properties Of Lafayette, Llc | 8527292986 | 16 |
| Entity Name | Alexandria Eye and Laser Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538120985 PECOS PAC ID: 4789641010 Enrollment ID: O20041217000427 |
| Entity Name | Calcasieu Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467715490 PECOS PAC ID: 5496908071 Enrollment ID: O20130109000768 |
| Entity Name | DM Properties of Lafayette, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659613537 PECOS PAC ID: 8527292986 Enrollment ID: O20140327000988 |
| 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 |
| Entity Name | Natchitoches Parkway Clinic, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912782061 PECOS PAC ID: 2860833340 Enrollment ID: O20240515001614 |
| Mailing Address | Practice Location Address |
|---|---|
| Kylan Poullard, 231 Windermere Blvd, Alexandria, LA 71303-3538 Ph: Not Available | Kylan Poullard, 3311 Prescott Rd Ste 415, Alexandria, LA 71301-3985 Ph: (318) 528-4455 |
Dustin Rand Goudeau, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3351 Masonic Dr, Alexandria, LA 71301 Phone: 318-473-9556 Fax: 318-441-8339 |
Chrishonda Marie Whitlock, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3330 Masonic Dr, Alexandria, LA 71301 Phone: 318-487-1122 |
Ms. Kelly G White, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 605b Medical Center Dr, Alexandria, LA 71301 Phone: 318-442-2232 Fax: 318-442-2192 |
Elizabeth Kathleen Robichaux, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 221 Windermere Blvd, Alexandria, LA 71303 Phone: 318-443-9773 Fax: 318-443-9799 |
Ms. Katherine Elizabeth Mcdonald, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3330 Masonic Dr, Alexandria, LA 71301 Phone: 318-448-6700 |
Wesley Coleman, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 145 Yorktown Dr, Alexandria, LA 71303 Phone: 318-445-8380 Fax: 318-445-9753 |
Mrs. Madeline Taylor Bonnette, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3802 Prescott Rd, Alexandria, LA 71301 Phone: 318-487-6060 Fax: 318-487-0406 |