Mrs Kimberly Jean Porter, PAC - Medicare Physician Assistant 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



Provider's Profile

Full NameMrs Kimberly Jean Porter
GenderFemale
SpecialityPhysician Assistant
Location243 Curtiss Rd, Barksdale Afb, Louisiana
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1780646612NPI-NPPES
1070445OtherNCCPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician 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 AddressPractice 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

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Physician Assistant Nurses in Barksdale Afb, LA

Mr. Dennis Zelenak, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110
Phone: 318-456-6555    
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 Watson, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110
Phone: 318-456-6555    

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