Dr Thanh Dai Vo, MD | |
2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 | |
(318) 212-5520 | |
(318) 212-5540 |
Full Name | Dr Thanh Dai Vo |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 2520 Bert Kouns Industrial 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 |
---|---|---|---|
1184658635 | NPI | - | NPPES |
4J956 | Other | LA | MEDICARE PTAN |
1056502 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD.200321 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Primestar Home Health Of Nwla, Inc | Ringgold, LA | Home health agency |
Stat Home Health Of Northwest Louisiana, Llc | Sibley, LA | Home health agency |
Louisiana Homecare | Mansfield, LA | Home health agency |
Advantage Home Health Care, Inc | Coushatta, LA | Home health agency |
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wk Frederick And Braud Clinic | 8022199553 | 2 |
Entity Name | Wk Urgent Care Center-pierremont |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639115132 PECOS PAC ID: 8123016946 Enrollment ID: O20040503000206 |
Entity Name | Wk Urgent Care Center - Bossier |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982640884 PECOS PAC ID: 3375531114 Enrollment ID: O20050119000787 |
Entity Name | Wk Frederick And Braud Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386825172 PECOS PAC ID: 8022199553 Enrollment ID: O20080122000697 |
Entity Name | Wk South Shreveport Family Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346426913 PECOS PAC ID: 0749363828 Enrollment ID: O20080213000040 |
Mailing Address | Practice Location Address |
---|---|
Dr Thanh Dai Vo, MD 2520 Bert Kouns, Ste 102, Shreveport, LA 71118-3130 Ph: (318) 212-5972 | Dr Thanh Dai Vo, MD 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 Ph: (318) 212-5520 |
Ratnam Baby Nagalla, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 870 Olive St, Shreveport, LA 71104 Phone: 318-629-0480 Fax: 318-629-0483 | |
David Juston Colvin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8383 Millicent Way, Shreveport, LA 71115 Phone: 318-797-6661 Fax: 318-795-8512 | |
Susan Michelle Self, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr, Suite 540, Shreveport, LA 71115 Phone: 318-212-3810 Fax: 318-212-3815 | |
Jaya R Mcsharma, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 700 Texas St Ste 101, Shreveport, LA 71101 Phone: 318-777-6843 Fax: 318-625-5520 | |
Dr. Kirk Anthony Grantham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2530 Bert Kouns Loop, Suite 138, Shreveport, LA 71118 Phone: 318-588-4726 Fax: 318-900-7828 | |
Ayesha Tabassom, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833 | |
David Henry, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7813 Youree Dr, Shreveport, LA 71105 Phone: 318-212-3830 Fax: 318-212-3835 |