Jack Lawrence Chandler, is a
Case Manager/care Coordinator based in Shreveport, Louisiana. Jack Lawrence Chandler is licensed to practice in Louisiana (license number ) and his current practice location is
458 Herndon St, Shreveport, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 221-5565.
NPI number for Jack Lawrence Chandler is 1184171654 and his current mailing address is 2920 Knight St Bldg 1, Shreveport, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184171654.
Healthcare Provider's Profile
Full Name | Jack Lawrence Chandler |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 458 Herndon St, Shreveport, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184171654
- Provider Enumeration Date: 09/01/2016
- Last Update Date: 10/20/2023
Medical Identifiers
Medical identifiers for Jack Lawrence Chandler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184171654 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 9325 (Louisiana) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (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. Jack Lawrence Chandler is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jack Lawrence Chandler, 2920 Knight St Bldg 1, Shreveport, LA 71105-2412 Ph: (318) 429-6938 | Jack Lawrence Chandler, 458 Herndon St, Shreveport, LA 71101-4859 Ph: (318) 221-5565 |
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