Kelly Eaton Boussert, MD | |
8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 | |
(225) 924-2424 | |
(225) 408-7980 |
Full Name | Kelly Eaton Boussert |
---|---|
Gender | Female |
Speciality | Interventional Pain Management |
Experience | 15 Years |
Location | 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, 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 |
---|---|---|---|
1679717136 | NPI | - | NPPES |
1883450 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | MD.207144 (Louisiana) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | MD.207144 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
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 |
---|---|---|
Baton Rouge Orthopaedic Clnic, Llc | 3274446414 | 122 |
Entity Name | Baton Rouge Orthopaedic Clnic, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770503690 PECOS PAC ID: 3274446414 Enrollment ID: O20031112000509 |
Entity Name | Advanced Pain Institute Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790976975 PECOS PAC ID: 0345332375 Enrollment ID: O20070822001309 |
Mailing Address | Practice Location Address |
---|---|
Kelly Eaton Boussert, MD 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 Ph: (225) 924-2424 | Kelly Eaton Boussert, MD 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 Ph: (225) 924-2424 |
Dr. Jihad G Jiha, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 5408 Flanders Dr, Baton Rouge, LA 70808 Phone: 225-769-5554 Fax: 225-769-5502 | |
Dr. John Braswell, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 5408 Flanders Dr, Baton Rouge, LA 70808 Phone: 225-769-5554 Fax: 225-769-5502 | |
Dr. John Michael Burdine, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 5408 Flanders Dr, Baton Rouge, LA 70808 Phone: 225-769-5554 Fax: 225-769-5502 | |
Allison Gray Walker, PA - C Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 5408 Flanders Dr, Baton Rouge, LA 70808 Phone: 225-769-5554 Fax: 225-769-5502 | |
Dr. Arnold Erwin Feldman, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 505 E Airport Ave, Baton Rouge, LA 70806 Phone: 225-201-0950 Fax: 225-201-9948 | |
Dr. John Clifton Crosby, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4580 Bluebonnet Blvd, Baton Rouge, LA 70809 Phone: 504-754-2334 | |
Dr. Joseph W Turnipseed, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 5408 Flanders Dr, Baton Rouge, LA 70808 Phone: 225-769-5554 Fax: 225-769-5502 |