Reeves Memorial Medical Center | |
409 First Street Bernice LA 71222 | |
(318) 285-9066 | |
(318) 285-7234 |
Full Name | Reeves Memorial Medical Center |
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Speciality | Family Medicine |
Location | 409 First Street, Bernice, Louisiana |
Authorized Official Name and Position | David Caston (CEO) |
Authorized Official Contact | 3182859066 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Reeves Memorial Medical Center Po Box 697 Bernice LA 71222-0697 Ph: (318) 285-9066 | Reeves Memorial Medical Center 409 First Street Bernice LA 71222 Ph: (318) 285-9066 |
NPI Number | 1124277728 |
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Provider Enumeration Date | 09/18/2008 |
Last Update Date | 04/05/2024 |
Medicare PECOS PAC ID | 8123011137 |
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Medicare Enrollment ID | O20040406000625 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124277728 | NPI | - | NPPES |
1941875 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Robert B Harris |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548219231 PECOS PAC ID: 6305863754 Enrollment ID: I20051026000055 |
Provider Name | Jacquelyn K White |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1629186812 PECOS PAC ID: 5991805889 Enrollment ID: I20070706000203 |
Provider Name | Douglas Matthew Casey |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1942498613 PECOS PAC ID: 3870674914 Enrollment ID: I20080115000623 |
Provider Name | Brenton W Mcdonald |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1528094455 PECOS PAC ID: 1254417132 Enrollment ID: I20080319000043 |
Provider Name | William M Wilder |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1730120312 PECOS PAC ID: 6406872134 Enrollment ID: I20090520000335 |
Provider Name | Kimberly Brunson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477785798 PECOS PAC ID: 3173669744 Enrollment ID: I20091013000220 |
Provider Name | Jeffrey A Stirnemann |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1871532564 PECOS PAC ID: 4789616681 Enrollment ID: I20100519000127 |
Provider Name | Marcus V Stelly |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1225206212 PECOS PAC ID: 1759412554 Enrollment ID: I20100623000074 |
Provider Name | Chad T Porter |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1669652665 PECOS PAC ID: 0547391229 Enrollment ID: I20100624000002 |
Provider Name | Chad A Shields |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881974129 PECOS PAC ID: 3072770247 Enrollment ID: I20120131000786 |
Provider Name | Daniel P Thompson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205047610 PECOS PAC ID: 5698927606 Enrollment ID: I20121219000508 |
Provider Name | Brett R Travis |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1700082682 PECOS PAC ID: 5698917086 Enrollment ID: I20130814000856 |
Provider Name | Ralph L Abraham |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1639346174 PECOS PAC ID: 2365686391 Enrollment ID: I20130913000109 |
Provider Name | Alexis R Bonsall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386084531 PECOS PAC ID: 1456594712 Enrollment ID: I20131127000072 |
Provider Name | Morgan Cheatham Haile |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1760655500 PECOS PAC ID: 6901060292 Enrollment ID: I20140127001269 |
Provider Name | Justin Pham |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1821040866 PECOS PAC ID: 0042104754 Enrollment ID: I20141022000483 |
Provider Name | Matthew K Dang |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1588848857 PECOS PAC ID: 7517131147 Enrollment ID: I20150130000807 |
Provider Name | Jessica D Caraway |
---|---|
Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1710120274 PECOS PAC ID: 6103130463 Enrollment ID: I20150730011487 |
Provider Name | Vikram Mysore Hatti |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1447202460 PECOS PAC ID: 3476554783 Enrollment ID: I20191007003390 |
Provider Name | Amir Abdelmalik |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1093967390 PECOS PAC ID: 8123280682 Enrollment ID: I20200406001258 |
Provider Name | Noah Woolridge |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1962899559 PECOS PAC ID: 2062702400 Enrollment ID: I20200629001825 |
Provider Name | Stephen Johnston |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1730525841 PECOS PAC ID: 0042574048 Enrollment ID: I20220307000090 |
Provider Name | Michael Rolen |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1730316118 PECOS PAC ID: 8022330893 Enrollment ID: I20220819001219 |
Provider Name | Sameh Sakla |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1518250307 PECOS PAC ID: 5294080230 Enrollment ID: I20220824003695 |
Provider Name | Kadie B Frost |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1821409905 PECOS PAC ID: 4082938808 Enrollment ID: I20220908000871 |
Provider Name | Cynthia P Bimle |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1578573630 PECOS PAC ID: 8123403581 Enrollment ID: I20220921001445 |
Provider Name | Nicholas Kramer |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1780118026 PECOS PAC ID: 1850767542 Enrollment ID: I20221020002678 |
Provider Name | Stacey Black |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1336291038 PECOS PAC ID: 3678798196 Enrollment ID: I20230502003325 |
Provider Name | Whitney D Vocker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386335974 PECOS PAC ID: 4183070725 Enrollment ID: I20231102000592 |
Provider Name | Caleb Ruben Rivera |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1164410916 PECOS PAC ID: 5496791857 Enrollment ID: I20240308002322 |
Provider Name | Rolando Ernesto Prieto |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1578551321 PECOS PAC ID: 7416993860 Enrollment ID: I20240312001116 |
Provider Name | Ryan Keith Tompkins |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1619064623 PECOS PAC ID: 1052493152 Enrollment ID: I20240416002479 |
Provider Name | Ronald Regan Winters |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1437593779 PECOS PAC ID: 8123382397 Enrollment ID: I20240503001227 |
Provider Name | Matthew Howard Smith |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1275869729 PECOS PAC ID: 6103148127 Enrollment ID: I20240513000864 |
Reeves Memorial Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 402 2nd Street, Bernice, LA 71222 Phone: 318-285-9066 Fax: 318-285-9065 | |
Bernice Medical Associates,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 Second St., Bernice, LA 71222 Phone: 318-285-9066 Fax: 318-285-9065 |