| Wk Pierremont Associates In Internal Medicine | |
|
7813 Youree Dr Shreveport LA 71105-5505 | |
| (318) 212-2929 | |
| (318) 212-2939 |
| Full Name | Wk Pierremont Associates In Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 7813 Youree Dr, Shreveport, Louisiana |
| Authorized Official Name and Position | Jared Beville (NETWORK ADMINISTRATOR) |
| Authorized Official Contact | 3187164891 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Pierremont Associates In Internal Medicine 7813 Youree Dr Shreveport LA 71105-5505 Ph: (318) 212-2929 | Wk Pierremont Associates In Internal Medicine 7813 Youree Dr Shreveport LA 71105-5505 Ph: (318) 212-2929 |
| NPI Number | 1427505254 |
|---|---|
| Provider Enumeration Date | 09/09/2016 |
| Last Update Date | 08/13/2024 |
| Medicare PECOS PAC ID | 9537447214 |
|---|---|
| Medicare Enrollment ID | O20161101000213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427505254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Stephen Germain Cassiere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124064985 PECOS PAC ID: 6406875806 Enrollment ID: I20051115000712 |
| Provider Name | Jina A Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851337612 PECOS PAC ID: 0840212122 Enrollment ID: I20051230000021 |
| Provider Name | Maurie Patterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720020027 PECOS PAC ID: 1355363664 Enrollment ID: I20051230000251 |
| Provider Name | Lillian A Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669682902 PECOS PAC ID: 7719171255 Enrollment ID: I20101028001506 |
| Provider Name | Crystal Lynne Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750039053 PECOS PAC ID: 9335525369 Enrollment ID: I20220928003589 |
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