Dr Jonathan Simon Gray, MD | |
2400 Hospital Dr Ste 420, Bossier City, LA 71111-2391 | |
(318) 212-7910 | |
(318) 752-7915 |
Full Name | Dr Jonathan Simon Gray |
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Gender | Male |
Speciality | Internal Medicine |
Location | 2400 Hospital Dr Ste 420, Bossier City, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881047199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 332662 (Louisiana) | Primary |
Entity Name | Wk Bossier Internal Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356522452 PECOS PAC ID: 4082704689 Enrollment ID: O20071219000814 |
Mailing Address | Practice Location Address |
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Dr Jonathan Simon Gray, MD 2400 Hospital Dr Ste 420, Bossier City, LA 71111-2391 Ph: (318) 212-7910 | Dr Jonathan Simon Gray, MD 2400 Hospital Dr Ste 420, Bossier City, LA 71111-2391 Ph: (318) 212-7910 |
Neelima Chintapalli, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2539 Viking Dr, Bossier City, LA 71111 Phone: 318-848-2970 Fax: 318-848-2971 | |
Diana Magpayo Lim, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Dr, Suite 420, Bossier City, LA 71111 Phone: 318-212-7910 Fax: 318-212-7915 | |
Dr. Barry Marvin Osherowitz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1608 Jimmie Davis Hwy, Bossier City, LA 71112 Phone: 318-747-2510 Fax: 318-742-3727 | |
Nealan Dewayne Prather, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Dr, Suite 420, Bossier City, LA 71111 Phone: 318-212-7910 Fax: 318-212-7915 | |
Leslie Jean Sewell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr, Suite 320, Bossier City, LA 71111 Phone: 318-212-7848 Fax: 318-212-7855 | |
Sarah Rainwater, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2300 Hospital Dr Ste 420, Bossier City, LA 71111 Phone: 318-212-7982 | |
Tom Chalermchai Rodsuwan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Dr, Suite 130, Bossier City, LA 71111 Phone: 318-212-7990 Fax: 318-212-7995 |