Jennifer Kelley, MD | |
5751 Shed Rd Ste 120, Bossier City, LA 71111-5662 | |
(318) 935-1922 | |
(318) 935-1925 |
Full Name | Jennifer Kelley |
---|---|
Gender | Female |
Speciality | Pediatric Medicine |
Experience | 14 Years |
Location | 5751 Shed Rd Ste 120, Bossier City, 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 |
---|---|---|---|
1366760993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD.206814 (Louisiana) | Secondary |
207R00000X | Internal Medicine | MD.206814 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wk Internal Medicine And Pediatric Specialists | 8022322957 | 4 |
Entity Name | Louisiana State University Health Sciences Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417992249 PECOS PAC ID: 6103730908 Enrollment ID: O20031208000275 |
Entity Name | Wk Internal Medicine And Pediatric Specialists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851783955 PECOS PAC ID: 8022322957 Enrollment ID: O20150805007534 |
Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Kelley, MD 5751 Shed Rd Ste 120, Bossier City, LA 71111-5662 Ph: (318) 935-1922 | Jennifer Kelley, MD 5751 Shed Rd Ste 120, Bossier City, LA 71111-5662 Ph: (318) 935-1922 |
Neelima Chintapalli, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2539 Viking Dr, Bossier City, LA 71111 Phone: 318-848-2970 Fax: 318-848-2971 | |
Diana Magpayo Lim, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Dr, Suite 420, Bossier City, LA 71111 Phone: 318-212-7910 Fax: 318-212-7915 | |
Dr. Barry Marvin Osherowitz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1608 Jimmie Davis Hwy, Bossier City, LA 71112 Phone: 318-747-2510 Fax: 318-742-3727 | |
Nealan Dewayne Prather, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Dr, Suite 420, Bossier City, LA 71111 Phone: 318-212-7910 Fax: 318-212-7915 | |
Leslie Jean Sewell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr, Suite 320, Bossier City, LA 71111 Phone: 318-212-7848 Fax: 318-212-7855 | |
Sarah Rainwater, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2300 Hospital Dr Ste 420, Bossier City, LA 71111 Phone: 318-212-7982 | |
Tom Chalermchai Rodsuwan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Dr, Suite 130, Bossier City, LA 71111 Phone: 318-212-7990 Fax: 318-212-7995 |