| Wk Academic Medicine Clinic | |
|
2751 Albert L Bicknell Dr Ste 2d Shreveport LA 71103-3939 | |
| (318) 212-4232 | |
| (318) 212-4257 |
| Full Name | Wk Academic Medicine Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 2751 Albert L Bicknell Dr Ste 2d, Shreveport, Louisiana |
| Authorized Official Name and Position | Mathew Wheeler (REVENUE CONTRACT MANAGER) |
| Authorized Official Contact | 3187164939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Academic Medicine Clinic 2751 Albert L Bicknell Dr Ste 2d Shreveport LA 71103-3939 Ph: (318) 212-4232 | Wk Academic Medicine Clinic 2751 Albert L Bicknell Dr Ste 2d Shreveport LA 71103-3939 Ph: (318) 212-4232 |
| NPI Number | 1992375844 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 02/28/2022 |
| Medicare PECOS PAC ID | 4688078371 |
|---|---|
| Medicare Enrollment ID | O20210803000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992375844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Catherine Speights |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942241450 PECOS PAC ID: 1355253840 Enrollment ID: I20031103000665 |
| Provider Name | Charles R Byrd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912966771 PECOS PAC ID: 6204720410 Enrollment ID: I20040212000222 |
| Provider Name | Karen Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588701288 PECOS PAC ID: 8921107996 Enrollment ID: I20070618000045 |
| Provider Name | Eric Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164683231 PECOS PAC ID: 6103968193 Enrollment ID: I20100129000192 |
| Provider Name | Savita S Thorat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659503761 PECOS PAC ID: 9335398064 Enrollment ID: I20140311001245 |
| Provider Name | Anand M Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821433103 PECOS PAC ID: 7911205174 Enrollment ID: I20160620000756 |
| Provider Name | Brian A Monaco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578908851 PECOS PAC ID: 6002114238 Enrollment ID: I20160727000872 |
| Provider Name | David Hudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063831352 PECOS PAC ID: 3870891146 Enrollment ID: I20170907002880 |
| Provider Name | Keishondra Ashley Sampson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174977128 PECOS PAC ID: 4688903420 Enrollment ID: I20210303000814 |
| Provider Name | Elliot Jason Sorrell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073045431 PECOS PAC ID: 4688940034 Enrollment ID: I20211122002107 |
| Provider Name | Ramses Ramirez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427551274 PECOS PAC ID: 0345631198 Enrollment ID: I20220105001092 |
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 |