Wk Moller Cassiere Clinic | |
8001 Youree Dr Suite 400 Shreveport LA 71115-2302 | |
(318) 212-3456 | |
(318) 212-3885 |
Full Name | Wk Moller Cassiere Clinic |
---|---|
Speciality | Internal Medicine |
Location | 8001 Youree Dr, 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 Moller Cassiere Clinic 8001 Youree Dr Suite 400 Shreveport LA 71115-2302 Ph: (318) 212-3456 | Wk Moller Cassiere Clinic 8001 Youree Dr Suite 400 Shreveport LA 71115-2302 Ph: (318) 212-3456 |
NPI Number | 1538101290 |
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Provider Enumeration Date | 06/10/2006 |
Last Update Date | 06/08/2012 |
Medicare PECOS PAC ID | 3678587664 |
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Medicare Enrollment ID | O20060130000224 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538101290 | NPI | - | NPPES |
1452912 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Laura B Perkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982635892 PECOS PAC ID: 5092796409 Enrollment ID: I20040601000020 |
Provider Name | Sally S Ball |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568441251 PECOS PAC ID: 8022919729 Enrollment ID: I20050205000087 |
Provider Name | Robert Hernandez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043247745 PECOS PAC ID: 2062302037 Enrollment ID: I20050308000207 |
Provider Name | Daniel J Moller |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760428528 PECOS PAC ID: 8921020223 Enrollment ID: I20051230000171 |
Provider Name | David M Abdehou |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568471993 PECOS PAC ID: 7810094265 Enrollment ID: I20070518000213 |
Provider Name | John P Harris |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437234903 PECOS PAC ID: 9234324914 Enrollment ID: I20101108000534 |
Provider Name | Scott R. Mcright |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568605004 PECOS PAC ID: 7315193596 Enrollment ID: I20120802000604 |
Provider Name | Tammy Guy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912261173 PECOS PAC ID: 3971737297 Enrollment ID: I20130927000561 |
Provider Name | Cody M Tingle |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699031237 PECOS PAC ID: 0749597342 Enrollment ID: I20150915000938 |
Provider Name | Lensey W Tiller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568915320 PECOS PAC ID: 9436445350 Enrollment ID: I20160901000651 |
Provider Name | Dakota J Boston |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962899971 PECOS PAC ID: 0345549531 Enrollment ID: I20180925002728 |
Provider Name | Ashley L Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417565664 PECOS PAC ID: 8820409238 Enrollment ID: I20201116000888 |
Provider Name | Jacquline D Jansen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801408547 PECOS PAC ID: 1355759366 Enrollment ID: I20210412001905 |
Provider Name | Mohammed Syed |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972031664 PECOS PAC ID: 5395015580 Enrollment ID: I20210817001043 |
Provider Name | Ahmed Salem |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760914055 PECOS PAC ID: 5092145649 Enrollment ID: I20210818000514 |
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 | |
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