Mrs Kellie Roy Bertrand, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Simmesport, Louisiana. Her current practice location is
118 Jjj Ln, Simmesport, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 941-5286.
Mrs Kellie Roy Bertrand is licensed to practice in Louisiana (license number RN096429 AP04315) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225014665.
Provider's Profile
Full Name | Mrs Kellie Roy Bertrand |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 118 Jjj Ln, Simmesport, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1225014665
- Provider Enumeration Date: 12/19/2005
- Last Update Date: 05/01/2013
Medicare PECOS Information:
- PECOS PAC ID: 8325031107
- Enrollment ID: I20040407000193
Medical Identifiers
Medical identifiers for Mrs Kellie Roy Bertrand such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225014665 | NPI | - | NPPES |
1174882 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | RN096429 AP04315 (Louisiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kellie Roy Bertrand allows following entities to bill medicare on her behalf.
Entity Name | Convenient Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164422630 PECOS PAC ID: 1153306816 Enrollment ID: O20040618000886 |
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Entity Name | Juban Point Urgent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033589379 PECOS PAC ID: 3678871217 Enrollment ID: O20160414000463 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kellie Roy Bertrand is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kellie Roy Bertrand, CFNP 8415 Goodwood Blvd, Suite 105, Baton Rouge, LA 70806-7851 Ph: (225) 765-5727 | Mrs Kellie Roy Bertrand, CFNP 118 Jjj Ln, Simmesport, LA 71369-2180 Ph: (318) 941-5286 |
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