Kelly C Grady, NP | |
101 Judge Tanner Blvd Ste 300, Covington, LA 70433-7506 | |
(985) 867-2100 | |
(985) 987-1815 |
Full Name | Kelly C Grady |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 101 Judge Tanner Blvd Ste 300, Covington, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932981891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | AP232171 (Louisiana) | Primary |
Entity Name | East Jefferson Physicians Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922293372 PECOS PAC ID: 4587660402 Enrollment ID: O20090127000299 |
Mailing Address | Practice Location Address |
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Kelly C Grady, NP Lcmc Health - Payor Enrollments, 1100 Poydras St., Ste. 2500, New Orleans, LA 70163-2500 Ph: (504) 527-9953 | Kelly C Grady, NP 101 Judge Tanner Blvd Ste 300, Covington, LA 70433-7506 Ph: (985) 867-2100 |
Sunny R Mcdaniel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Innwood Dr, Covington, LA 70433 Phone: 985-892-3225 Fax: 985-892-7677 | |
Mr. Luis Benigno Martinez Iii, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1850 N Highway 190, Covington, LA 70433 Phone: 985-809-1515 | |
Jeffrey J Stein, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 N Hwy 190, Covington, LA 70433 Phone: 985-867-8585 Fax: 985-867-3644 | |
Dionne M Stein, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 N. Hwy 190, Covington, LA 70433 Phone: 985-867-8585 Fax: 985-867-3644 | |
Stacy Sharp, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Starbrush Cir, Covington, LA 70433 Phone: 985-871-6020 | |
Colleen Leo Frady, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433 Phone: 985-867-8585 | |
Mrs. Josephine Elizabeth Sims, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Highland Park Plz, Suite 205, Covington, LA 70433 Phone: 985-871-8681 |