Mrs Kellie Roy Bertrand, CFNP | |
118 Jjj Ln, Simmesport, LA 71369-2180 | |
(318) 941-5286 | |
(318) 941-5284 |
Full Name | Mrs Kellie Roy Bertrand |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 118 Jjj Ln, Simmesport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225014665 | NPI | - | NPPES |
1174882 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN096429 AP04315 (Louisiana) | Primary |
Entity Name | Convenient Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164422630 PECOS PAC ID: 1153306816 Enrollment ID: O20040618000886 |
Entity Name | Juban Point Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033589379 PECOS PAC ID: 3678871217 Enrollment ID: O20160414000463 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kellie Roy Bertrand, CFNP 8415 Goodwood Blvd, Suite 105, Baton Rouge, LA 70806-7851 Ph: (225) 765-5727 | Mrs Kellie Roy Bertrand, CFNP 118 Jjj Ln, Simmesport, LA 71369-2180 Ph: (318) 941-5286 |
Olivia Riviere, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 417 N Martin Luther King Dr, Simmesport, LA 71369 Phone: 800-462-0742 Fax: 318-941-2388 | |
Mrs. Crystal G Firmin, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 417 N Martin Luther King Dr, Simmesport, LA 71369 Phone: 800-462-0742 |