Highland Clinic, A Prof Med Corp - Medicare Primary Care in Shreveport, LA

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Highland Clinic, A Prof Med Corp is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Shreveport, Louisiana. The current practice location for Highland Clinic, A Prof Med Corp is 1455 E Bert Kouns Loop, Shreveport, Louisiana. For appointments, you can reach them via phone at (318) 798-4500. The mailing address for Highland Clinic, A Prof Med Corp is 1455 E Bert Kouns Loop, Shreveport, Louisiana and phone number is (318) 798-4500.

Highland Clinic, A Prof Med Corp is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1053315846. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (318) 798-4500.

Contact Information

Highland Clinic, A Prof Med Corp
1455 E Bert Kouns Loop
Shreveport
LA 71105-5634
(318) 798-4500
(318) 798-4555

Map and Direction


Primary Care Clinic Profile

Full NameHighland Clinic, A Prof Med Corp
SpecialityClinic/Center
Location1455 E Bert Kouns Loop, Shreveport, Louisiana
Authorized Official Name and PositionDebbie W. Smith (ADMINISTRATOR)
Authorized Official Contact3187984598
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Highland Clinic, A Prof Med Corp
1455 E Bert Kouns Loop
Shreveport
LA 71105-5634

Ph: (318) 798-4500		Highland Clinic, A Prof Med Corp
1455 E Bert Kouns Loop
Shreveport
LA 71105-5634

Ph: (318) 798-4500

NPI Details:

NPI Number1053315846
Provider Enumeration Date06/09/2005
Last Update Date12/11/2020

Medicare PECOS Information:

Medicare PECOS PAC ID3870493463
Medicare Enrollment IDO20040220000551

Medical Identifiers

Medical identifiers for Highland Clinic, A Prof Med Corp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053315846NPI-NPPES
1038300MedicaidLA
108413002MedicaidAR
071428901MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Highland Clinic, A Prof Med Corp acts as a billing entity for following providers:
Provider NameTimothy W Talbert
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1821048463
PECOS PAC ID: 4284530759
Enrollment ID: I20031208000613
Provider NameBenny M Popwell
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1891799607
PECOS PAC ID: 6507858032
Enrollment ID: I20040402000281
Provider NameJames R Barnes
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1033158837
PECOS PAC ID: 1254326531
Enrollment ID: I20040416000520
Provider NameClifford H Rice
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1093719833
PECOS PAC ID: 9830173079
Enrollment ID: I20040616000035
Provider NameJohn D Hinrichsen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1255335121
PECOS PAC ID: 5092793588
Enrollment ID: I20040712000178
Provider NameDeanna Kamphuis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437153319
PECOS PAC ID: 0244299477
Enrollment ID: I20041005000233
Provider NameKerry W Tynes
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1538152426
PECOS PAC ID: 6305881780
Enrollment ID: I20050627000231
Provider NameLori R Johnson
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1386648129
PECOS PAC ID: 2062422892
Enrollment ID: I20060425000137
Provider NameSteven C Whited
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1679577340
PECOS PAC ID: 4981617131
Enrollment ID: I20060711000287
Provider NameJon C Barnes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689678534
PECOS PAC ID: 3678575727
Enrollment ID: I20070202000350
Provider NameMary Berg
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1174524391
PECOS PAC ID: 2466554019
Enrollment ID: I20070228000152
Provider NameStephen White
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1164435475
PECOS PAC ID: 3476582677
Enrollment ID: I20070726000286
Provider NameBrian L Dockendorf
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1598769432
PECOS PAC ID: 3274627211
Enrollment ID: I20070920000668
Provider NameRussell Burlison
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1073517975
PECOS PAC ID: 5193807766
Enrollment ID: I20080205000222
Provider NameCharles D Knight
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1912901794
PECOS PAC ID: 3274620752
Enrollment ID: I20080508000680
Provider NameKurt Kampert
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1801889258
PECOS PAC ID: 4082784020
Enrollment ID: I20080603000722
Provider NamePowell B Auer
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1073735338
PECOS PAC ID: 0345338141
Enrollment ID: I20080813000486
Provider NameAlan B Richards
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1992709745
PECOS PAC ID: 1456416700
Enrollment ID: I20090219000550
Provider NameMeghan Harris
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1235349812
PECOS PAC ID: 1153473681
Enrollment ID: I20090715000137
Provider NameAmy E Coburn
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1871729277
PECOS PAC ID: 3072667856
Enrollment ID: I20090812000864
Provider NameEdward L Anglin
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1811991714
PECOS PAC ID: 7517055239
Enrollment ID: I20091228000605
Provider NameCraig Springmeyer
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1487658241
PECOS PAC ID: 4183765704
Enrollment ID: I20100105000333
Provider NameGordon Mead
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1518961317
PECOS PAC ID: 0648371559
Enrollment ID: I20100106000830
Provider NameCarl Goodman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1346244290
PECOS PAC ID: 4284797614
Enrollment ID: I20100109000155
Provider NameLeigh Henderson
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1194729061
PECOS PAC ID: 1658412788
Enrollment ID: I20100111000679
Provider NameRoan Flenniken
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023012960
PECOS PAC ID: 4284775131
Enrollment ID: I20100114000137
Provider NameIrene Scaltsas
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1770587537
PECOS PAC ID: 4082756002
Enrollment ID: I20100128000455
Provider NameJohn Parker
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1386648194
PECOS PAC ID: 0547303455
Enrollment ID: I20100201000332
Provider NamePaul Rushing
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003810904
PECOS PAC ID: 5294878591
Enrollment ID: I20100209000565
Provider NameBrooke Bailey Stokes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265752778
PECOS PAC ID: 5799809539
Enrollment ID: I20100901000528
Provider NameElza B Robinson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1346235587
PECOS PAC ID: 5991895708
Enrollment ID: I20101005001266
Provider NameJessica E Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699081620
PECOS PAC ID: 9537352794
Enrollment ID: I20101020000271
Provider NameCarlton Gregory Houtz
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1063673424
PECOS PAC ID: 0840469581
Enrollment ID: I20110815000047
Provider NameAshli M Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497010854
PECOS PAC ID: 9436315777
Enrollment ID: I20120731000738
Provider NameKelly Warren
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164767398
PECOS PAC ID: 3476708249
Enrollment ID: I20130227000587
Provider NameChuka Victor Ifeanyi
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1649407487
PECOS PAC ID: 2961646229
Enrollment ID: I20140827000939
Provider NameKirtan Nalin Koticha
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1528279965
PECOS PAC ID: 2264650589
Enrollment ID: I20140828001943
Provider NameClaude Youngblood Bundrick
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1043538796
PECOS PAC ID: 7113148701
Enrollment ID: I20141023002080
Provider NameGraham Wayne Rachal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225456304
PECOS PAC ID: 8224259411
Enrollment ID: I20141103000761
Provider NameSarah Lynn Scotto
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1295027787
PECOS PAC ID: 2860711181
Enrollment ID: I20150507000779
Provider NameAnn Holland Guy
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1235457979
PECOS PAC ID: 5890910632
Enrollment ID: I20150811004819
Provider NameMansi Nalin Shah
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1003090663
PECOS PAC ID: 7214012806
Enrollment ID: I20160105001098
Provider NameRaine M Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548799240
PECOS PAC ID: 4082983820
Enrollment ID: I20170710002776
Provider NameLeanna M Tyler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285149401
PECOS PAC ID: 2466711361
Enrollment ID: I20180123001748
Provider NameGeorge Wayne Byram
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1992064026
PECOS PAC ID: 0446579049
Enrollment ID: I20180621002289
Provider NameGabrielle Gandy Boyd
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1730687260
PECOS PAC ID: 8527316272
Enrollment ID: I20180813001429
Provider NameEmily Leanne Tull
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386137586
PECOS PAC ID: 4486904083
Enrollment ID: I20180831001116
Provider NameGonzalo Alvarez Del Real
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1801853106
PECOS PAC ID: 1557365640
Enrollment ID: I20190314002021
Provider NameAutumn Lynne Laffitte
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073165940
PECOS PAC ID: 4183952591
Enrollment ID: I20190822004174
Provider NameAlysha Hinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093349078
PECOS PAC ID: 7618306648
Enrollment ID: I20200326002002
Provider NameDavid Berken
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1790105153
PECOS PAC ID: 0749585859
Enrollment ID: I20200720000458
Provider NameAnand Bhat
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1992084750
PECOS PAC ID: 2961644075
Enrollment ID: I20200723002147
Provider NameStephen Hoge
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1184010399
PECOS PAC ID: 5092010322
Enrollment ID: I20210818002770
Provider NameBenjamin Feibel
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1114380656
PECOS PAC ID: 3173927043
Enrollment ID: I20220701000901
Provider NameCynthia Collier
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1588070171
PECOS PAC ID: 7315168671
Enrollment ID: I20231221002004

Reviews and Comments


Clinic/Center in Shreveport, LA

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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.