Stephanie Mccollister Kelleher, MD - Medicare Pediatrics in Baton Rouge, LA

Stephanie Mccollister Kelleher, MD is a medicare enrolled "Pediatrics" physician in Baton Rouge, Louisiana. Her current practice location is 888 Tara Blvd, Ste. E, Baton Rouge, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 926-4400.

Stephanie Mccollister Kelleher is licensed to practice in Louisiana (license number 024325) 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 1609807197.

Contact Information

Stephanie Mccollister Kelleher, MD
888 Tara Blvd, Ste. E,
Baton Rouge, LA 70806-7818
(225) 926-4400
(225) 926-4409



Physician's Profile

Full NameStephanie Mccollister Kelleher
GenderFemale
SpecialityPediatrics
Location888 Tara Blvd, Baton Rouge, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609807197
  • Provider Enumeration Date: 07/05/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8123305679
  • Enrollment ID: I20170510001277

Medical Identifiers

Medical identifiers for Stephanie Mccollister Kelleher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609807197NPI-NPPES
1570214MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 024325 (Louisiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephanie Mccollister Kelleher allows following entities to bill medicare on her behalf.
Entity NameBaton Rouge Clinic, A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871546911
PECOS PAC ID: 1254317001
Enrollment ID: O20040624000911

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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. Stephanie Mccollister Kelleher 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 AddressPractice Location Address
Stephanie Mccollister Kelleher, MD
888 Tara Blvd, Ste. E,
Baton Rouge, LA 70806-7818

Ph: (225) 926-4400
Stephanie Mccollister Kelleher, MD
888 Tara Blvd, Ste. E,
Baton Rouge, LA 70806-7818

Ph: (225) 926-4400

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Pediatrics Doctors in Baton Rouge, LA

Manish Gope Raisingani,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8200 Constantin Blvd Fl 4, Baton Rouge, LA 70809
Phone: 225-765-5500    Fax: 225-765-1733
Dr. Daniel Gregg Sloven, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8200 Constantin Blvd Fl 4, Baton Rouge, LA 70809
Phone: 225-765-5500    Fax: 225-765-2054
Traci T. Lacy, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 7373 Perkins Rd, Baton Rouge, LA 70808
Phone: 225-769-4044    
Dr. Michelle L Flechas, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12525 Perkins Rd, Suite C, Baton Rouge, LA 70810
Phone: 225-769-2003    Fax: 225-767-3055
Dr. Richard Francis Lasseigne Jr., MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8300 Constantin Blvd, Baton Rouge, LA 70809
Phone: 225-374-1410    Fax: 225-374-1616
Dr. Horace Jay Collinsworth, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8415 Goodwood Blvd, Suite 100, Baton Rouge, LA 70806
Phone: 225-765-5633    Fax: 225-765-5634
Myriam Aracelis Ortiz-de Jesus', MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 11424 Sullivan Rd, Suite B1, Baton Rouge, LA 70818
Phone: 225-761-5200    

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