Robin Shirley Bedgood, NP
Individual provider Active NPI Family Nurse Practitioner · Dequincy, LA
NPI 1336490986 · NPPES record last updated Aug 11, 2016
Key facts
- NPI
- 1336490986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP6978 (LA)
- Practice address
- 140 W 4TH St
Dequincy, LA 70633-3508 - Phone
- (337) 786-5007
- Fax
- (337) 786-5009
- NPI assigned
- Sep 23, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beauregard Medical Group LLC
Practice addresses (Care Compare)
12186 Hwy 171
Longville, LA 70652-4625
Phone (337) 405-7778
Hospital & facility affiliations
- Elara Caring
- Beauregard Memorial Hospital
- Lake Charles Memorial Hospital
- West Calcasieu Cameron Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121221000029 | LA | Practitioner - Nurse Practitioner | 3779735741 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP6978 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Clinic of Moss Bluff, LLC | Current |
Accepting new patients | |
| Beauregard Medical Group LLC | Family | Current |
Accepting new patients |
| Chadha Medical Clinic | Current |
Accepting new patients | |
| Calcasieu Urgent Care LLC | Current |
Accepting new patients | |
| Calcasieu Urgent Care, LLC | Current |
Accepting new patients |
Locations
140 W 4th St
Dequincy, LA 70633
Phone (337) 786-5007
2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919
12186 Highway 171
Longville, LA 70652
Phone (337) 405-7778
242 Sam Houston Jones Pkwy
Moss Bluff, LA 70611
Phone (337) 905-4000
237 Sam Houston Jones Pkwy
Moss Bluff, LA 70611
Phone (337) 855-3438
1429 Beglis Pkwy
Sulphur, LA 70663
Phone (337) 426-0919
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP6978 | LA | Yes |
Addresses
Primary practice location
140 W 4TH St
Dequincy, LA 70633-3508
Mailing address
140 W 4TH St
Dequincy, LA 70633-3508
Phone (337) 786-5007
Other providers in Dequincy, LA
- All Family Care, LLC
- Allegiance Medical Clinic of Dequincy LLC
- Allegiance Medical Clinic of Dequincy LLC
- Winston Batchelor
- Peter T. Bayles
- Mitchell K Bowers
- Brookshire Brothers Inc
- Buxton Emergency Group, LLC
- Shanelle Buxton
- Scotti Michelle Vige Call
All providers in Dequincy, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.