| Kelly G Burkenstock Md A Professional Medical Corporation | |
|
2040 N Causeway Blvd Mandeville LA 70471-3116 | |
| (985) 727-7676 | |
| (985) 727-3476 |
| Full Name | Kelly G Burkenstock Md A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 2040 N Causeway Blvd, Mandeville, Louisiana |
| Authorized Official Name and Position | Kelly G Burkenstock (PRESIDENT) |
| Authorized Official Contact | 9857277676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly G Burkenstock Md A Professional Medical Corporation 2040 N Causeway Blvd Mandeville LA 70471-3116 Ph: (985) 727-7676 | Kelly G Burkenstock Md A Professional Medical Corporation 2040 N Causeway Blvd Mandeville LA 70471-3116 Ph: (985) 727-7676 |
| NPI Number | 1639328578 |
|---|---|
| Provider Enumeration Date | 09/16/2008 |
| Last Update Date | 07/19/2022 |
| Medicare PECOS PAC ID | 7113076332 |
|---|---|
| Medicare Enrollment ID | O20090519000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639328578 | NPI | - | NPPES |
| 1496278 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD.023319 (Louisiana) | Primary |
| Provider Name | Kelly G Burkenstock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730183112 PECOS PAC ID: 4587698733 Enrollment ID: I20050927000130 |
| Provider Name | Austin Lawrence Burkenstock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780171108 PECOS PAC ID: 4981953056 Enrollment ID: I20220908000403 |
United Med Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2639 N Causeway Blvd, Mandeville, LA 70471 Phone: 985-809-7400 Fax: 985-809-7423 | |
Medical Pioneers, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Mariners Blvd Ste 1b, Mandeville, LA 70448 Phone: 985-400-3210 Fax: 855-553-6931 | |
Northshore Gastroenterology, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4430 Highway 22, Mandeville, LA 70471 Phone: 985-845-9000 Fax: 985-845-9003 | |
Sports & Family Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Highway 59, Suite D, Mandeville, LA 70471 Phone: 985-809-3135 Fax: 985-809-3035 | |
Andre Raoul Bezou, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2727 Lakeshore Dr, Mandeville, LA 70448 Phone: 985-892-8088 | |
A-1 Internal Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 533 Carroll St, Mandeville, LA 70448 Phone: 985-373-0058 | |
Redimed Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4430 Hwy 22, Mandeville, LA 70471 Phone: 985-626-3470 Fax: 985-674-5377 |