Dr Roan L Flenniken, MD | |
1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | |
(318) 798-4577 | |
(318) 798-4672 |
Full Name | Dr Roan L Flenniken |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 41 Years |
Location | 1455 E Bert Kouns Loop, Shreveport, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023012960 | NPI | - | NPPES |
110091280 | Other | LA | RAILROAD MEDICARE NUMBER |
1358070 | Medicaid | LA | |
1053315846 | Other | LA | GROUP NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 017132 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Louisiana Homecare | Mansfield, LA | Home health agency |
Christus Homecare Schumpert | Shreveport, LA | Home health agency |
Red River Home Health Care | Bossier city, LA | Home health agency |
Stat Home Health Of Northwest Louisiana, Llc | Sibley, LA | Home health agency |
Amedisys Home Health | Shreveport, LA | Home health agency |
Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Highland Clinic, A Prof Med Corp | 3870493463 | 48 |
Entity Name | Highland Clinic, A Prof Med Corp |
---|---|
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 |
---|---|
Dr Roan L Flenniken, MD 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 Ph: (318) 798-4488 | Dr Roan L Flenniken, MD 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 Ph: (318) 798-4577 |
Mansi Shah, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Koun Loop, #210, Shreveport, LA 71105 Phone: 318-798-4515 Fax: 318-798-4530 | |
Pratik Agrawal, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Dr. Bader Alotaibi, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2727 Hearne Ave Ste 301, Shreveport, LA 71103 Phone: 318-631-6400 | |
Paul A Rushing, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4488 Fax: 318-798-4420 | |
Sanjay Jain, Internal Medicine Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Primary Care (110), Shreveport, LA 71101 Phone: 318-221-8411 | |
Steven R Bailey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Venkateswara K Rao, M.D., Internal Medicine Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Medicine, Shreveport, LA 71103 Phone: 318-675-5000 |