Mandy Gayle Keown, FNP | |
10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | |
(225) 761-5200 | |
Not Available |
Full Name | Mandy Gayle Keown |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 10310 The Grove 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003276064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP08728 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Elara Caring | Opelousas, LA | Home health agency |
University Hospital & Clinics | Lafayette, LA | Hospital |
Lafayette General Medical Center | Lafayette, LA | Hospital |
St Martin Hospital | Breaux bridge, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Hospital And Clinics, Inc. | 7113161977 | 69 |
Entity Name | University Hospital & Clinics, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639518087 PECOS PAC ID: 7113161977 Enrollment ID: O20130917000335 |
Mailing Address | Practice Location Address |
---|---|
Mandy Gayle Keown, FNP 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-4000 | Mandy Gayle Keown, FNP 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 Ph: (225) 761-5200 |
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