Dr Wayne S Barksdale, MD | |
1049 N Pine Rd, Olla, LA 71465-4826 | |
(318) 495-3175 | |
(318) 495-0750 |
Full Name | Dr Wayne S Barksdale |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 34 Years |
Location | 1049 N Pine Rd, Olla, 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 |
---|---|---|---|
1912902453 | NPI | - | NPPES |
021079 | Other | LA | LICENSE # |
4547495 | Other | AETNA | |
9213426005 | Other | CIGNA | |
195096 | Medicaid | LA | |
080132328 | Other | RR MCR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 021079 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Haven Home Health Inc | Monroe, LA | Home health agency |
Harbor Hospice Of Alexandria, Lp | Alexandria, LA | Hospice |
Hardtner Medical Center | Olla, LA | Hospital |
Lasalle General Hospital | Jena, LA | Hospital |
Christus St Frances Cabrini Hospital | Alexandria, LA | Hospital |
Lasalle Nursing Home | Jena, LA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lasalle Parish Hospital Service District 1 | 6709781545 | 17 |
Entity Name | Lasalle Parish Hospital Service District #1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184815466 PECOS PAC ID: 6709781545 Enrollment ID: O20040408000438 |
Mailing Address | Practice Location Address |
---|---|
Dr Wayne S Barksdale, MD 1102 N Pine Rd, Olla, LA 71465-4804 Ph: (313) 495-5308 | Dr Wayne S Barksdale, MD 1049 N Pine Rd, Olla, LA 71465-4826 Ph: (318) 495-3175 |
Dr. Charl Frederick Du Toit Ceronio, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 N Pine Rd, Olla, LA 71465 Phone: 318-446-4534 | |
Tyler Kennedy Hinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1049 N Pine Rd Ste C, Olla, LA 71465 Phone: 318-495-3131 | |
Jeffrey Tanita, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1136a N Pine Rd, Olla, LA 71465 Phone: 318-495-3880 Fax: 318-495-3882 |