| Blanchard Medical | |
|
5948 N Market St Shreveport LA 71107-2017 | |
| (318) 375-0001 | |
| (318) 375-0002 |
| Full Name | Blanchard Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 5948 N Market St, Shreveport, Louisiana |
| Authorized Official Name and Position | Dakota 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 |
|---|---|
| Blanchard Medical 5948 N Market St Shreveport LA 71107-2017 Ph: (318) 375-0001 | Blanchard Medical 5948 N Market St Shreveport LA 71107-2017 Ph: (318) 375-0001 |
| NPI Number | 1760089791 |
|---|---|
| Provider Enumeration Date | 10/02/2020 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 8325450315 |
|---|---|
| Medicare Enrollment ID | O20201216001046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760089791 | NPI | - | NPPES |
| 2570587 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (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 | 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 |
Hs Louisiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Suite 5-303, Shreveport, LA 71103 Phone: 904-834-2679 Fax: 904-395-3249 | |
Wk Digestive Disease Consultants Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2508 Bert Koun Loop, Sutie 304, Shreveport, LA 71118 Phone: 318-671-8880 Fax: 318-671-8879 | |
Andrew Dentino Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103 Phone: 318-212-8780 Fax: 318-212-8181 | |
Paul S Wilson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1666 E Bert Kouns Industrial Loop, Suite 230, Shreveport, LA 71105 Phone: 318-212-3970 Fax: 318-212-3975 | |
Maurie Patterson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8001 Youree Dr, Suite 400, Shreveport, LA 71115 Phone: 318-212-3456 Fax: 318-212-3885 | |
Raymond A. Coghlan Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 150, Shreveport, LA 71103 Phone: 318-631-9996 Fax: 318-631-9345 | |
Shreveport Family Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 Pines Road, Suite 1250, Shreveport, LA 71129 Phone: 318-686-3770 Fax: 318-686-3838 |