Andrew Wynn, | |
815 S Pine St, Vivian, LA 71082-3353 | |
(318) 375-3239 | |
Not Available |
Full Name | Andrew Wynn |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 815 S Pine St, Vivian, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154999712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 341036 (Louisiana) | Primary |
Entity Name | North Caddo Hospital Service District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326016684 PECOS PAC ID: 4385544584 Enrollment ID: O20040113000307 |
Mailing Address | Practice Location Address |
---|---|
Andrew Wynn, Po Box 792, Vivian, LA 71082-0792 Ph: (318) 375-3232 | Andrew Wynn, 815 S Pine St, Vivian, LA 71082-3353 Ph: (318) 375-3239 |
Catherine Sharpe, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 815 S Pine St, Vivian, LA 71082 Phone: 318-375-3239 Fax: 318-375-5967 | |
Dr. Chase Alexander Herrera, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 815 S Pine St, Vivian, LA 71082 Phone: 318-375-3239 Fax: 318-375-2755 | |
Deborah Maureen Wynn, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 815 S Pine St, Vivian, LA 71082 Phone: 318-375-3239 |