| Wk Bossier Internal Medicine | |
|
2400 Hospital Dr Suite 420 Bossier City LA 71111-2385 | |
| (318) 212-7910 | |
| (318) 752-7915 |
| Full Name | Wk Bossier Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2400 Hospital Dr, Bossier City, Louisiana |
| Authorized Official Name and Position | Greg J. Gavin (NETWORK ADMINISTRATOR) |
| Authorized Official Contact | 3182124232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Bossier Internal Medicine 2400 Hospital Dr Suite 420 Bossier City LA 71111-2385 Ph: (318) 212-7910 | Wk Bossier Internal Medicine 2400 Hospital Dr Suite 420 Bossier City LA 71111-2385 Ph: (318) 212-7910 |
| NPI Number | 1356522452 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 12/16/2009 |
| Medicare PECOS PAC ID | 4082704689 |
|---|---|
| Medicare Enrollment ID | O20071219000814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356522452 | NPI | - | NPPES |
| 1025445 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ariel G Ton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134120355 PECOS PAC ID: 9032138334 Enrollment ID: I20051116000296 |
| Provider Name | Bipin Turakhia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821047028 PECOS PAC ID: 2567460413 Enrollment ID: I20061201000227 |
| Provider Name | Attila Z Balogh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558310680 PECOS PAC ID: 6901804855 Enrollment ID: I20061201000236 |
| Provider Name | Diana M Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023047420 PECOS PAC ID: 2961592563 Enrollment ID: I20071219000767 |
| Provider Name | Kennedy K Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801825211 PECOS PAC ID: 6002906609 Enrollment ID: I20071219000799 |
| Provider Name | Jonathan Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881047199 PECOS PAC ID: 2668725003 Enrollment ID: I20220908001554 |
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 |