Katie Queen, MD | |
433 Plaza St Ste 1a, Bogalusa, LA 70427-3729 | |
(225) 730-6970 | |
(985) 730-6398 |
Full Name | Katie Queen |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 433 Plaza St Ste 1a, Bogalusa, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952545972 | NPI | - | NPPES |
1883042 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | P2419 (Texas) | Secondary |
208000000X | Pediatrics | MD.203961 (Louisiana) | Primary |
Entity Name | Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043230873 PECOS PAC ID: 3971401944 Enrollment ID: O20031229000715 |
Entity Name | Childrens Hospital Medical Practice Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821090713 PECOS PAC ID: 5597944579 Enrollment ID: O20110124000073 |
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 |
Mailing Address | Practice Location Address |
---|---|
Katie Queen, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 765-0011 | Katie Queen, MD 433 Plaza St Ste 1a, Bogalusa, LA 70427-3729 Ph: (225) 730-6970 |
Mamatha Ananth, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 433 Plaza St Ste 1a, Bogalusa, LA 70427 Phone: 985-730-6970 Fax: 985-730-6398 | |
George Cowan, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 405 Avenue F, Bogalusa, LA 70427 Phone: 985-732-1568 Fax: 985-732-4458 | |
Uyen D Nguyen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 433 Plaza St Ste 1a, Bogalusa, LA 70427 Phone: 985-730-6970 Fax: 985-730-6398 |