| Wk Center For Endocrinology And Diabetes | |
|
2551 Greenwood Rd Suite 411 Shreveport LA 71103-3981 | |
| (318) 212-8627 | |
| (318) 212-8632 |
| Full Name | Wk Center For Endocrinology And Diabetes |
|---|---|
| Speciality | Internal Medicine |
| Location | 2551 Greenwood Rd, Shreveport, Louisiana |
| Authorized Official Name and Position | Greg J Gavin (NETWORK 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 Center For Endocrinology And Diabetes 2551 Greenwood Rd Ste 130 Shreveport LA 71103-3984 Ph: (318) 212-8627 | Wk Center For Endocrinology And Diabetes 2551 Greenwood Rd Suite 411 Shreveport LA 71103-3981 Ph: (318) 212-8627 |
| NPI Number | 1457884819 |
|---|---|
| Provider Enumeration Date | 04/04/2017 |
| Last Update Date | 07/20/2022 |
| Medicare PECOS PAC ID | 5395013627 |
|---|---|
| Medicare Enrollment ID | O20170609001194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457884819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Michelle A Chico |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053504662 PECOS PAC ID: 0042380503 Enrollment ID: I20080610000443 |
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 | |
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