Dr John W Parker Jr, MD | |
1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | |
(318) 798-4565 | |
(318) 798-4423 |
Full Name | Dr John W Parker Jr |
---|---|
Gender | Male |
Speciality | Otolaryngology |
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 |
---|---|---|---|
1386648194 | NPI | - | NPPES |
040007485 | Other | LA | RAILROAD MEDICARE NUMBER |
1053315846 | Other | LA | GROUP NPI NUMBER |
1311588 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 013620 (Louisiana) | Primary |
Entity Name | Highland Clinic, A Prof Med Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053315846 PECOS PAC ID: 3870493463 Enrollment ID: O20040220000551 |
Mailing Address | Practice Location Address |
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Dr John W Parker Jr, MD 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 Ph: (318) 798-4565 | Dr John W Parker Jr, MD 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 Ph: (318) 798-4565 |
William Harrel Watkins, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2121 Line Ave, Shreveport, LA 71104 Phone: 318-226-9441 Fax: 318-425-3236 | |
Amelia Kate Ramsey, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2121 Line Ave, Shreveport, LA 71104 Phone: 901-448-5885 | |
Brett A. Koder, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7847 Youree Dr, Shreveport, LA 71105 Phone: 318-212-3960 Fax: 318-212-3907 | |
Michael T Yim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-6262 | |
Dr. Clifford H Rice Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4464 Fax: 318-798-4529 | |
Lindsey Alexander Pennington, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Otolaryngology, Shreveport, LA 71103 Phone: 318-813-2690 Fax: 318-813-2692 | |
Judd H Chidlow, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4569 Fax: 318-798-4423 |