Kimberly Paternostro Bordelon, | |
180 N 5th St, Ponchatoula, LA 70454-2532 | |
(985) 370-7546 | |
Not Available |
Full Name | Kimberly Paternostro Bordelon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 180 N 5th St, Ponchatoula, 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 |
---|---|---|---|
1013368794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP08813 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrated Dermatology Of Ponchatoula Llc | 6103126974 | 12 |
Entity Name | Integrated Dermatology Of Ponchatoula Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508234600 PECOS PAC ID: 6103126974 Enrollment ID: O20151130001653 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Paternostro Bordelon, 28404 Loiret Ct, Ponchatoula, LA 70454-8102 Ph: (985) 705-0567 | Kimberly Paternostro Bordelon, 180 N 5th St, Ponchatoula, LA 70454-2532 Ph: (985) 370-7546 |
Mrs. Catherine Norman Horn, APRN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13429 Rosewood Dr, Ponchatoula, LA 70454 Phone: 504-606-6116 | |
Ms. Melissa A. Lama, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 E Oak St, Ponchatoula, LA 70454 Phone: 985-386-6198 Fax: 985-386-6223 | |
Susan Barringer Smith, APRN, FNP-C, PNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 180 North 5th Street, Benson Dermatology And Skin Cancer, Llc, Ponchatoula, LA 70454 Phone: 985-370-7546 Fax: 985-370-7765 | |
Mr. James Michael Whittington, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 530 W Pine St, Suite 1, Ponchatoula, LA 70454 Phone: 985-507-4655 | |
Dr. Taylor Jean Cooke, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40175 Pecan Allee Dr # A, Ponchatoula, LA 70454 Phone: 850-264-5723 | |
Mrs. Erika A Oliver, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 W Pine St Ste 1, Ponchatoula, LA 70454 Phone: 985-370-5656 Fax: 985-370-4225 |