| Neil Halim Fairfield Family Clinic | |
|
1860 Fairfield Ave Shreveport LA 71101-4431 | |
| (318) 675-1313 | |
| Not Available |
| Full Name | Neil Halim Fairfield Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1860 Fairfield Ave, Shreveport, Louisiana |
| Authorized Official Name and Position | Neil Hailm (DOCTOR) |
| Authorized Official Contact | 3186751313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neil Halim Fairfield Family Clinic 1860 Fairfield Ave Shreveport LA 71101-4431 Ph: (318) 675-1313 | Neil Halim Fairfield Family Clinic 1860 Fairfield Ave Shreveport LA 71101-4431 Ph: (318) 675-1313 |
| NPI Number | 1104025121 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 01/03/2023 |
| Medicare PECOS PAC ID | 8426089699 |
|---|---|
| Medicare Enrollment ID | O20050826000793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104025121 | NPI | - | NPPES |
| 437379903F | Other | LA | BCBS NUMBER |
| 1689623548 | Other | LA | INDIVIDAL NPI# |
| 1681831 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD 022628 (Louisiana) | Primary |
| Provider Name | Neil Lutfi Halim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689623548 PECOS PAC ID: 0941238281 Enrollment ID: I20050728000865 |
| Provider Name | Martha R Wafer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619179421 PECOS PAC ID: 9931282035 Enrollment ID: I20080213000211 |
| Provider Name | Megan Ray O'neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659807980 PECOS PAC ID: 5890045918 Enrollment ID: I20180911000058 |
| Provider Name | Janna Sue Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780918490 PECOS PAC ID: 8527249275 Enrollment ID: I20200716001801 |
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 |