Mrs Kimberly Jean Porter, PAC in Barksdale Afb, LA

Mrs Kimberly Jean Porter, PAC is a medicare enrolled "Physician Assistant" in Barksdale Afb, Louisiana. Her current practice location is 243 Curtiss Rd, Barksdale Afb, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 456-7320.

Mrs Kimberly Jean Porter is licensed to practice in Louisiana (license number PA.200235) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780646612.

Contact Information

	Mrs Kimberly Jean Porter, PAC
	243 Curtiss Rd, Barksdale Afb, LA 71110-2425
	(318) 456-7320
	(318) 456-6246

Map and Direction

Provider's Profile

Full Name	Mrs Kimberly Jean Porter
Gender	Female
Speciality	Physician Assistant
Location	243 Curtiss Rd, Barksdale Afb, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780646612
Provider Enumeration Date: 04/05/2006
Last Update Date: 08/16/2019

Medicare PECOS Information:

PECOS PAC ID: 8729136866
Enrollment ID: I20090430000027

Medical Identifiers

Medical identifiers for Mrs Kimberly Jean Porter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780646612	NPI	-	NPPES
1070445	Other		NCCPA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA.200235 (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. Mrs Kimberly Jean Porter 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
Mrs Kimberly Jean Porter, PAC 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698	Mrs Kimberly Jean Porter, PAC 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 Ph: (318) 456-7320

Reviews and Comments

Physician Assistant Nurses in Barksdale Afb, LA

Sherry D. Carter, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 243 Curtiss Rd, Barksdale Afb, LA 71110 Phone: 318-456-4606
David Walden, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110 Phone: 318-456-6403
Brandy Shannon Williams, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110 Phone: 318-456-6555
Melanie M. Johnson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110 Phone: 719-290-6377
Mr. David Wayne Spaulding, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110 Phone: 318-456-6555
Crista Steel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110 Phone: 318-456-6555
Robert C. Perryman, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 243 Curtiss Rd, Barksdale Afb, LA 71110 Phone: 318-456-6555

Mrs Kimberly Jean Porter, PAC - Medicare Physician Assistant in Barksdale Afb, LA