| Wk Bossier Hyperbaric And Wound Care Center | |
|
2300 Hospital Dr Suite 130 Bossier City LA 71111-2394 | |
| (318) 212-7080 | |
| (318) 212-7082 |
| Full Name | Wk Bossier Hyperbaric And Wound Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 2300 Hospital Dr, Bossier City, Louisiana |
| Authorized Official Name and Position | Greg J Gavin (ADMINISTRATOR) |
| Authorized Official Contact | 3182128780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Bossier Hyperbaric And Wound Care Center 1202 Louisiana Ave Shreveport LA 71101-3910 Ph: (318) 212-7080 | Wk Bossier Hyperbaric And Wound Care Center 2300 Hospital Dr Suite 130 Bossier City LA 71111-2394 Ph: (318) 212-7080 |
| NPI Number | 1508295338 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 11/04/2013 |
| Medicare PECOS PAC ID | 7315176898 |
|---|---|
| Medicare Enrollment ID | O20140203000731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508295338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Victoria L Everton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952339038 PECOS PAC ID: 6406812452 Enrollment ID: I20060511000039 |
| Provider Name | Steven Kitchings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144431933 PECOS PAC ID: 2365514387 Enrollment ID: I20080709000198 |
| Provider Name | Kirk A Grantham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023241403 PECOS PAC ID: 3870759236 Enrollment ID: I20120730000631 |
| Provider Name | Amy H Norcross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164807723 PECOS PAC ID: 9436465317 Enrollment ID: I20150909001027 |
| Provider Name | Kristen Dickerson Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962003863 PECOS PAC ID: 4981010709 Enrollment ID: I20210302003195 |
Bossier Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2539 Viking Dr Ste 101, Bossier City, LA 71111 Phone: 318-747-8100 Fax: 318-747-8151 | |
Rapid Care Of Bossier Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5015 Shed Rd, Suite 400, Bossier City, LA 71111 Phone: 318-584-7301 Fax: 318-741-4496 | |
Charles A Powers Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Dr, Suite 420, Bossier City, LA 71111 Phone: 318-212-7910 Fax: 318-212-7915 | |
Willow Chute Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4910 Airline Dr, Bossier City, LA 71111 Phone: 318-349-3921 | |
Abaka Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4438 Viking Dr, Bossier City, LA 71111 Phone: 318-918-0015 Fax: 318-963-0015 | |
Allen Cox Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Hospital Dr, Suite 200, Bossier City, LA 71111 Phone: 318-212-7830 Fax: 318-212-7835 | |
Injurymd Of Bossier, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5015 Shed Rd Ste 500, Bossier City, LA 71111 Phone: 318-741-5858 Fax: 318-741-4496 |