| Wk Internal Medicine And Pediatric Specialists | |
|
5751 Shed Rd Ste 120 Bossier City LA 71111-5662 | |
| (318) 935-1922 | |
| (318) 935-1925 |
| Full Name | Wk Internal Medicine And Pediatric Specialists |
|---|---|
| Speciality | Internal Medicine |
| Location | 5751 Shed Rd Ste 120, Bossier City, Louisiana |
| Authorized Official Name and Position | Jared Beville (VP PHYSICIAN NETWORK) |
| Authorized Official Contact | 3187164891 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Internal Medicine And Pediatric Specialists 5751 Shed Rd Ste 120 Bossier City LA 71111-5662 Ph: (318) 935-1922 | Wk Internal Medicine And Pediatric Specialists 5751 Shed Rd Ste 120 Bossier City LA 71111-5662 Ph: (318) 935-1922 |
| NPI Number | 1851783955 |
|---|---|
| Provider Enumeration Date | 02/26/2015 |
| Last Update Date | 09/10/2024 |
| Medicare PECOS PAC ID | 8022322957 |
|---|---|
| Medicare Enrollment ID | O20150805007534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851783955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Jessica L Carter Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801082920 PECOS PAC ID: 2264520444 Enrollment ID: I20071126000110 |
| Provider Name | Jennifer P Kelley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366760993 PECOS PAC ID: 6204055965 Enrollment ID: I20140912000447 |
| Provider Name | Cheynita F Metoyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336405935 PECOS PAC ID: 9436452307 Enrollment ID: I20160826001076 |
| Provider Name | Mayte Pino Mcwilliams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952036618 PECOS PAC ID: 8921484965 Enrollment ID: I20220929000059 |
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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 |