Winn Parish Medical Center Physician Practice | |
301 W Boundary Ave Winnfield LA 71483-3427 | |
(318) 302-3602 | |
(318) 648-3104 |
Full Name | Winn Parish Medical Center Physician Practice |
---|---|
Speciality | Family Medicine |
Location | 301 W Boundary Ave, Winnfield, Louisiana |
Authorized Official Name and Position | Monica Lewis (CEO) |
Authorized Official Contact | 3182243589 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Winn Parish Medical Center Physician Practice Po Box 152 Winnfield LA 71483-0152 Ph: (318) 628-7374 | Winn Parish Medical Center Physician Practice 301 W Boundary Ave Winnfield LA 71483-3427 Ph: (318) 302-3602 |
NPI Number | 1629391628 |
---|---|
Provider Enumeration Date | 03/04/2010 |
Last Update Date | 10/07/2022 |
Medicare PECOS PAC ID | 6002198736 |
---|---|
Medicare Enrollment ID | O20190103000659 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629391628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208600000X | Surgery | (* (Not Available)) | Secondary |
Provider Name | Jeffery D Wyatt |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1134271125 PECOS PAC ID: 9032101860 Enrollment ID: I20040401000589 |
Provider Name | Kay A Shepherd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548464522 PECOS PAC ID: 2062479769 Enrollment ID: I20041214001021 |
Provider Name | Eric C Dupree |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508805532 PECOS PAC ID: 8325945421 Enrollment ID: I20050315000121 |
Provider Name | Sandra K Carter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740223387 PECOS PAC ID: 8527083534 Enrollment ID: I20051010000289 |
Provider Name | Mark V Shelton |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548251036 PECOS PAC ID: 8527126754 Enrollment ID: I20081016000516 |
Provider Name | Khaldoun Soudan |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1164411815 PECOS PAC ID: 7315966322 Enrollment ID: I20110617000593 |
Provider Name | James Lee |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1720049521 PECOS PAC ID: 9638279631 Enrollment ID: I20111019000680 |
Provider Name | Philip Anthony Cole |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1225249105 PECOS PAC ID: 6406010115 Enrollment ID: I20120608000505 |
Provider Name | Padam Hirachan |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1528215019 PECOS PAC ID: 5890934723 Enrollment ID: I20160930000137 |
Provider Name | Toby A Wise |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619415551 PECOS PAC ID: 3577818863 Enrollment ID: I20180608000741 |
Provider Name | Bethany A Citerella |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073135141 PECOS PAC ID: 7113358540 Enrollment ID: I20231030000844 |
Shalom Clinic For Children Rhc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 609 W Court St, Suite B, Winnfield, LA 71483 Phone: 318-648-5518 | |
Winn Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 431 W Lafayette St, Winnfield, LA 71483 Phone: 318-648-0375 Fax: 318-648-0378 | |
Winnfield Family Practice, L.l.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 427 W Lafayette St, Winnfield, LA 71483 Phone: 318-628-7374 Fax: 318-628-7301 | |
Julio E. Iglesias,m.d. A Professional Medical Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 W Boundary Ave, Suite A, Winnfield, LA 71483 Phone: 318-628-2108 Fax: 318-628-6211 | |
Winn Community Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 431 West Lafayette St., Winnfield, LA 71483 Phone: 318-648-0375 Fax: 318-648-0378 | |
Winn Rural Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 639 W Lafayette St, Winnfield, LA 71483 Phone: 318-648-3025 | |
Winn Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 605 W Lafayette St, Winnfield, LA 71483 Phone: 318-648-2220 |