| Willis Knighton Internal Medicine Pierremont Suite 550 | |
|
8001 Youree Dr Ste 550 Shreveport LA 71115-2332 | |
| (318) 212-2984 | |
| (318) 212-3404 |
| Full Name | Willis Knighton Internal Medicine Pierremont Suite 550 |
|---|---|
| Speciality | Internal Medicine |
| Location | 8001 Youree Dr Ste 550, Shreveport, Louisiana |
| Authorized Official Name and Position | Jared Thomas Beville (VP WK PHYSICIAN NETWORK) |
| Authorized Official Contact | 3187194950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willis Knighton Internal Medicine Pierremont Suite 550 8001 Youree Dr Ste 550 Shreveport LA 71115-2332 Ph: (318) 212-2984 | Willis Knighton Internal Medicine Pierremont Suite 550 8001 Youree Dr Ste 550 Shreveport LA 71115-2332 Ph: (318) 212-2984 |
| NPI Number | 1891009437 |
|---|---|
| Provider Enumeration Date | 08/05/2010 |
| Last Update Date | 10/01/2024 |
| Medicare PECOS PAC ID | 8426242751 |
|---|---|
| Medicare Enrollment ID | O20101101000831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891009437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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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 | |
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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 | |
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