Dr Kelly James Boudreaux Jr, MD | |
8080 Bluebonnet Blvd., Suite 3000, Baton Rouge, LA 70810 | |
(225) 766-8100 | |
(225) 408-6896 |
Full Name | Dr Kelly James Boudreaux Jr |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 19 Years |
Location | 8080 Bluebonnet Blvd., Baton Rouge, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205983194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 203731 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Surgical Specialty Center Of Baton Rouge | Baton rouge, LA | Hospital |
Baton Rouge General Medical Center | Baton rouge, LA | Hospital |
Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Louisiana Urology Llc | 3173591559 | 7 |
Entity Name | Louisiana Urology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225149677 PECOS PAC ID: 3173591559 Enrollment ID: O20040923000149 |
Mailing Address | Practice Location Address |
---|---|
Dr Kelly James Boudreaux Jr, MD 8080 Bluebonnet Blvd, Suite 3000, Baton Rouge, LA 70810 Ph: (225) 766-8100 | Dr Kelly James Boudreaux Jr, MD 8080 Bluebonnet Blvd., Suite 3000, Baton Rouge, LA 70810 Ph: (225) 766-8100 |
Dr. Jason Peary Bridges, Urology Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd Ste 608, Baton Rouge, LA 70808 Phone: 225-767-0394 Fax: 225-767-3904 | |
Robert Stewart Taylor, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 8080 Bluebonnet Blvd, Ste 3000, Baton Rouge, LA 70810 Phone: 225-766-8100 Fax: 225-769-5596 | |
Dr. Kenneth Mciver Blue Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 8080 Bluebonnet Blvd, Ste 3000, Baton Rouge, LA 70810 Phone: 225-766-8100 Fax: 225-766-3240 | |
James Selser Morris, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 2004, Baton Rouge, LA 70808 Phone: 225-769-2500 Fax: 225-769-9424 | |
Harold David Wexler, Urology Medicare: Not Enrolled in Medicare Practice Location: 8080 Bluebonnet Blvd, Ste 3000, Baton Rouge, LA 70810 Phone: 225-766-8100 Fax: 225-408-6867 | |
Dr. Kenneth Mciver Blue Iii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 8080 Bluebonnet Blvd, Suite 3000, Baton Rouge, LA 70810 Phone: 225-766-8100 Fax: 225-408-6896 | |
Sujith K Reddy, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 16777 Medical Center Dr, Baton Rouge, LA 70816 Phone: 225-754-3278 Fax: 225-754-5090 |