Mallory Bourg, in Baton Rouge, LA

Mallory Bourg, is a medicare enrolled "Physician Assistant" in Baton Rouge, Louisiana. Her current practice location is 7777 Hennessy Blvd, Suite 701, Baton Rouge, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 765-5864.

Mallory Bourg is licensed to practice in Louisiana (license number 200789) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164816831.

Contact Information

	Mallory Bourg,
	7777 Hennessy Blvd, Suite 701, Baton Rouge, LA 70808-4300
	(225) 765-5864
	(225) 765-2013

Map and Direction

Provider's Profile

Full Name	Mallory Bourg
Gender	Female
Speciality
Experience	Years
Location	7777 Hennessy Blvd, 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.

Medical Education and Training:

Mallory Bourg attended and graduated from in

NPI Data:

NPI Number: 1164816831
Provider Enumeration Date: 03/20/2015
Last Update Date: 09/29/2023

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mallory Bourg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164816831	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	200789 (Louisiana)	Primary

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. Mallory Bourg 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 Address	Practice Location Address
Mallory Bourg, 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 526-0006	Mallory Bourg, 7777 Hennessy Blvd, Suite 701, Baton Rouge, LA 70808-4300 Ph: (225) 765-5864

Reviews and Comments

Physician Assistant Nurses in Baton Rouge, LA

Casey M Leblanc, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808 Phone: 225-757-0552
Shelbie Lynne Ford, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 17000 Medical Center Dr, Baton Rouge, LA 70816 Phone: 225-755-4858
Paulla Danielle Brouillette, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 7777 Hennessy Blvd, Our Lady Of The Lake Med Cntr -- Er Dept, Baton Rouge, LA 70808 Phone: 888-447-2450 Fax: 405-341-9217
William Clement Moss Jr., P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810 Phone: 225-924-2424 Fax: 225-408-7984
James Garrett Leblanc, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810 Phone: 225-924-2424 Fax: 225-408-7984
Ms. Meegan Landry Domangue, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7301 Hennessy Blvd, #200, Baton Rouge, LA 70801 Phone: 225-766-0050 Fax: 225-766-1499
Mr. Taylor Murphy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7777 Hennessy Blvd Ste 302, Baton Rouge, LA 70808 Phone: 225-374-0500 Fax: 225-354-2075

Mallory Bourg, - Medicare in Baton Rouge, LA