David Cooksey, MD | |
1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | |
(318) 798-4677 | |
(318) 798-4417 |
Full Name | David Cooksey |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 1455 E Bert Kouns Loop, Shreveport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225032121 | NPI | - | NPPES |
1191884 | Medicaid | LA | |
070004786 | Other | LA | RAILROAD MEDICARE NUMBER |
1053315846 | Other | LA | GROUP NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 012189 (Louisiana) | Primary |
Entity Name | Southern Maine Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659392819 PECOS PAC ID: 0143208348 Enrollment ID: O20040713001060 |
Mailing Address | Practice Location Address |
---|---|
David Cooksey, MD 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 Ph: (318) 798-4677 | David Cooksey, MD 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 Ph: (318) 798-4677 |
Steven Cooper Heard, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9007 Ellerbe Rd., Shreveport, LA 71106 Phone: 318-222-3278 Fax: 318-424-3155 | |
Mrs. Anne B Bryan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9007 Ellerbe Rd, Shreveport, LA 71106 Phone: 318-222-3278 Fax: 318-424-3155 | |
Dr. John J Jucas, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: John J. Jucas M.d., 6121 Fern Ave Unit 107, Shreveport, LA 71105 Phone: 318-617-3667 Fax: 870-863-5242 | |
Mr. David J Clemons, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 845 Olive St, Shreveport, LA 71104 Phone: 318-222-3278 Fax: 318-421-3155 | |
Mr. Donald I Posner, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 845 Olive St, Shreveport, LA 71104 Phone: 318-222-3278 Fax: 318-421-3155 | |
Dr. Laura Sherrod Haynie, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2751 Albert L Bicknell Dr, Suite 2-d, Shreveport, LA 71103 Phone: 318-221-2623 Fax: 318-424-9850 |