Kellie Bourg Paddy, APRN - Medicare Nurse Practitioner in Cincinnati, OH

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Kellie Bourg Paddy, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Cincinnati, Ohio. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Physical Therapy Services Of West Louisiana Inc, West Louisiana Health Services Inc and her current practice location is 411 Oak St, Cincinnati, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 984-1800.

Kellie Bourg Paddy is licensed to practice in Louisiana (license number RN105307-AP05784) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1154564169.

Contact Information

Kellie Bourg Paddy, APRN
411 Oak St,
Cincinnati, OH 45219-2504
(513) 984-1800
(513) 984-4909

Map and Direction




Provider's Profile

Full NameKellie Bourg Paddy
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location411 Oak St, Cincinnati, Ohio
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kellie Bourg Paddy graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1154564169
  • Provider Enumeration Date: 04/07/2009
  • Last Update Date: 06/03/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 6204069081
  • Enrollment ID: I20211202000859

Medical Identifiers

Medical identifiers for Kellie Bourg Paddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154564169NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health RN105307-AP05784 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beauregard Memorial HospitalDeridder, LAHospital
Byrd Regional HospitalLeesville, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physical Therapy Services Of West Louisiana Inc044638876363
West Louisiana Health Services Inc579968024510

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. Kellie Bourg Paddy allows following entities to bill medicare on her behalf.
Entity NameBeauregard Medical And Surgical Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326348962
PECOS PAC ID: 6709066541
Enrollment ID: O20110210000569
Entity NameBeauregard Women's Health Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801196498
PECOS PAC ID: 9234319955
Enrollment ID: O20110211000421
Entity NameWest Louisiana Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164985495
PECOS PAC ID: 5799680245
Enrollment ID: O20110216000789
Entity NameBeauregard Internal Medicine Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588964175
PECOS PAC ID: 7113100801
Enrollment ID: O20110317000340
Entity NameBeauregard Family Medical Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326387705
PECOS PAC ID: 3577709708
Enrollment ID: O20130413000098
Entity NameBeauregard Surgery Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083043806
PECOS PAC ID: 2062642291
Enrollment ID: O20140307000745
Entity NameBeauregard Urology Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891124384
PECOS PAC ID: 6709018575
Enrollment ID: O20140409001629

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. Kellie Bourg Paddy 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 AddressPractice Location Address
Kellie Bourg Paddy, APRN
411 Oak St,
Cincinnati, OH 45219-2504

Ph: (513) 984-1800		Kellie Bourg Paddy, APRN
411 Oak St,
Cincinnati, OH 45219-2504

Ph: (513) 984-1800

Reviews and Comments


Nurse Practitioner Nurses in Cincinnati, OH

Mr. Raymond John Barrows, CNP
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Practice Location: 796 Cincinnati-batavia Pike, Cincinnati, OH 45245
Phone: 513-752-9610    Fax: 513-732-8734
Ms. Darcel Derri Bolser, APRN, BC
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Phone: 513-475-6524    Fax: 513-475-6525
Mrs. Lauren Faye Smith, ACNP-BC
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Phone: 513-792-7445    Fax: 513-791-4042
Sonia L Hissett, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 3131 Queen City Ave, Cincinnati, OH 45238
Phone: 513-557-3333    Fax: 513-557-3332
Elizabeth Ann Moore, CNP
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Medicare: Not Enrolled in Medicare
Practice Location: 3333 Burnet Ave, Ml 2003, Cincinnati, OH 45229
Phone: 513-636-4432    Fax: 513-636-3952
Erynne Hamilton, ARPN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 375 Dixmyth Ave, Cincinnati, OH 45220
Phone: 513-862-2514    Fax: 513-862-4189
Kathryn Elizabeth Dinh, NP
Nurse Practitioner
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Practice Location: 4440 Red Bank Expy Ste 210, Cincinnati, OH 45227
Phone: 513-272-0313    Fax: 513-272-0316

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.