Mr Zachary Scott Wilson, AGAC-NP | |
1453 E Bert Koun Loop Ste 112, Shreveport, LA 71105-6810 | |
(318) 223-5777 | |
Not Available |
Full Name | Mr Zachary Scott Wilson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 2 Years |
Location | 1453 E Bert Koun Loop Ste 112, 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 |
---|---|---|---|
1912638271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 226165 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
Natchitoches Regional Medical Center | Natchitoches, LA | Hospital |
Springhill Medical Center | Springhill, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Cardiovascular Specialists | 7315224755 | 19 |
Entity Name | Advanced Cardiovascular Specialists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881127090 PECOS PAC ID: 7315224755 Enrollment ID: O20170512002294 |
Mailing Address | Practice Location Address |
---|---|
Mr Zachary Scott Wilson, AGAC-NP 1453 E Bert Koun Loop Ste 112, Shreveport, LA 71105-6810 Ph: (318) 223-5777 | Mr Zachary Scott Wilson, AGAC-NP 1453 E Bert Koun Loop Ste 112, Shreveport, LA 71105-6810 Ph: (318) 223-5777 |
Lasonya Jones, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7840 Jewella Ave, Shreveport, LA 71108 Phone: 318-401-1432 Fax: 318-562-3889 | |
James E Harper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Line Avenue, Ste 200, Shreveport, LA 71101 Phone: 318-629-5555 Fax: 318-629-5556 | |
Tamara J Trainer, RN, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1525 Fairfield Room 551, Dhh-office Of Public Health, Shreveport, LA 71101 Phone: 318-676-7470 | |
Ms. Shannon Renee Gully, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Alana O Bragg, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Ob/gyn, Shreveport, LA 71103 Phone: 318-675-5379 Fax: 318-675-4671 | |
Pamela B. Simmons, PHD, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 865 Olive St, Shreveport, LA 71104 Phone: 318-470-6194 | |
Barbara Lynn Bruner, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 |