Dr Virginia Homza Carter, | |
909 Olive St, Shreveport, LA 71104 | |
(318) 698-3291 | |
(318) 698-3293 |
Full Name | Dr Virginia Homza Carter |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 909 Olive St, 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 |
---|---|---|---|
1598077323 | NPI | - | NPPES |
2340379 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | T-2322 (Mississippi) | Secondary |
208000000X | Pediatrics | MD.206164 (Louisiana) | Primary |
Entity Name | Wk Pediatric Health & Wellness |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063072197 PECOS PAC ID: 4183052111 Enrollment ID: O20200325000769 |
Mailing Address | Practice Location Address |
---|---|
Dr Virginia Homza Carter, Wk Pediatric Health & Wellness, 909 Olive Street, Shreveport, LA 71104-2103 Ph: (318) 698-3291 | Dr Virginia Homza Carter, 909 Olive St, Shreveport, LA 71104 Ph: (318) 698-3291 |
Shaheena Anene, Pediatrics Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Uday Kumar Chalwadi, Pediatrics Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Lea Bonifacio Penales, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2520 Bert Kouns Loop, Suite 215, Shreveport, LA 71118 Phone: 318-212-5970 Fax: 318-212-5975 | |
Marco Quispe Leveau, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Medicine, Shreveport, LA 71103 Phone: 318-675-5000 | |
Amanda Bradshaw Raney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7045 Youree Dr, Shreveport, LA 71105 Phone: 318-798-3763 Fax: 318-797-0645 | |
Martha M Whyte, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Mary Pl, Shreveport, LA 71101 Phone: 318-227-4658 Fax: 318-424-6606 | |
Dr. Stephanie Boyd Henson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 Fairfield Ave, Suite 201, Shreveport, LA 71101 Phone: 318-848-2810 Fax: 318-848-2815 |