Dr Richard Lee Wigle, MD | |
1501 Kings Hwy, Shreveport, LA 71103-4228 | |
(318) 675-5000 | |
Not Available |
Full Name | Dr Richard Lee Wigle |
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Gender | Male |
Speciality | Surgery - Trauma Surgery |
Location | 1501 Kings Hwy, 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 |
---|---|---|---|
1295759850 | NPI | - | NPPES |
1032824 | Medicaid | LA | |
4K995F600 | Other | LA | MEDICARE - PTAN |
Entity Name | Louisiana State University Health Sciences Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417992249 PECOS PAC ID: 6103730908 Enrollment ID: O20031208000275 |
Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
Mailing Address | Practice Location Address |
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Dr Richard Lee Wigle, MD 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: (318) 675-5177 | Dr Richard Lee Wigle, MD 1501 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 675-5000 |
James R Barnes, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Koun Loop, Suite #105, Shreveport, LA 71105 Phone: 318-798-4433 Fax: 318-798-4432 | |
Mary T Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-6154 | |
Dr. Paul E Perkowski, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833 | |
Dr. James Booth Burke, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1202 Louisiana Avenue, Shreveport, LA 71101 Phone: 318-212-8780 Fax: 318-212-6752 | |
Jennifer Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Surgery, Shreveport, LA 71103 Phone: 318-675-2655 | |
Dr. Terry Lairmore, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Dr. Mark H Smith, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2751 Albert L Bicknell Dr, Suite 3d, Shreveport, LA 71103 Phone: 318-212-4799 Fax: 318-424-3642 |