| Benton Medical | |
|
188 Burt Blvd Benton LA 71006-4900 | |
| (318) 965-5017 | |
| (318) 965-5019 |
| Full Name | Benton Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 188 Burt Blvd, Benton, Louisiana |
| Authorized Official Name and Position | Dakota James Robinson (CFO) |
| Authorized Official Contact | 3183754097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benton Medical 188 Burt Blvd Benton LA 71006-4900 Ph: (318) 375-4004 | Benton Medical 188 Burt Blvd Benton LA 71006-4900 Ph: (318) 965-5017 |
| NPI Number | 1932585841 |
|---|---|
| Provider Enumeration Date | 08/03/2015 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 1456669654 |
|---|---|
| Medicare Enrollment ID | O20151008001618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932585841 | NPI | - | NPPES |
| 2508784 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | James Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003808569 PECOS PAC ID: 0446141766 Enrollment ID: I20040324000479 |
| Provider Name | Sean Landreneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285700971 PECOS PAC ID: 4284692526 Enrollment ID: I20050126000173 |
| Provider Name | John M Chandler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801824651 PECOS PAC ID: 1557367455 Enrollment ID: I20061017000489 |
| Provider Name | Kayci D Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720205586 PECOS PAC ID: 8123125929 Enrollment ID: I20070511000515 |
| Provider Name | Jody D Chance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740365733 PECOS PAC ID: 8325145808 Enrollment ID: I20070517000295 |
| Provider Name | Charles E Mccathran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043396625 PECOS PAC ID: 6901840362 Enrollment ID: I20070912000831 |
| Provider Name | Nicole Mccommon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750592440 PECOS PAC ID: 4981780947 Enrollment ID: I20080401000169 |
| Provider Name | John A Woods |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619110152 PECOS PAC ID: 7012104052 Enrollment ID: I20101203000127 |
| Provider Name | Walker C May |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003083205 PECOS PAC ID: 7719176643 Enrollment ID: I20110107000789 |
| Provider Name | Jere Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366730558 PECOS PAC ID: 1658542444 Enrollment ID: I20110928000274 |
| Provider Name | Jennifer M Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780815985 PECOS PAC ID: 6103080445 Enrollment ID: I20120618000112 |
| Provider Name | Catherine Sharpe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023493160 PECOS PAC ID: 0547565962 Enrollment ID: I20181008000463 |
| Provider Name | Kristen M. Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447882162 PECOS PAC ID: 9032546056 Enrollment ID: I20200303001569 |
| Provider Name | Summer Robin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831566777 PECOS PAC ID: 2163814617 Enrollment ID: I20220113002102 |
| Provider Name | Amber Mote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407588627 PECOS PAC ID: 1456731330 Enrollment ID: I20220708003655 |
| Provider Name | Chase Alexander Herrera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487282125 PECOS PAC ID: 0547644528 Enrollment ID: I20230126000248 |
| Provider Name | Deborah Maureen Wynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912527078 PECOS PAC ID: 4486090172 Enrollment ID: I20240318000036 |
| Provider Name | April Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801653936 PECOS PAC ID: 6800236720 Enrollment ID: I20240425002279 |
Janet L Morehouse Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 188 Burt Blvd, Suite A, Benton, LA 71006 Phone: 318-965-1795 Fax: 318-965-5505 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7076 La-3, Benton, LA 71006 Phone: 318-965-3410 | |
North Bossier Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4707 Palmetto Rd, Benton, LA 71006 Phone: 318-965-9644 Fax: 318-965-9640 | |
Wound Care Contractors, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 444 Kingston Plantation Blvd, Benton, LA 71006 Phone: 318-272-6847 Fax: 318-900-7828 | |
Wk Palmetto Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 Lackland Blvd Ste 120, Benton, LA 71006 Phone: 318-935-1522 Fax: 318-935-1525 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Burt Blvd, Benton, LA 71006 Phone: 833-784-2669 Fax: 844-784-2329 | |
Benton Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 188 Burt Blvd, Benton, LA 71006 Phone: 318-798-4539 Fax: 318-798-4601 |