| Wk Pines Road Family Medicine | |
|
6821 Pines Rd Suite 100 Shreveport LA 71129-2547 | |
| (318) 687-5500 | |
| (318) 687-5503 |
| Full Name | Wk Pines Road Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 6821 Pines Rd, Shreveport, Louisiana |
| Authorized Official Name and Position | Greg J. Gavin (NETWORK ADMINISTRATOR) |
| Authorized Official Contact | 3182124232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Pines Road Family Medicine 6821 Pines Rd Suite 100 Shreveport LA 71129-2547 Ph: (318) 687-5500 | Wk Pines Road Family Medicine 6821 Pines Rd Suite 100 Shreveport LA 71129-2547 Ph: (318) 687-5500 |
| NPI Number | 1629210042 |
|---|---|
| Provider Enumeration Date | 03/31/2009 |
| Last Update Date | 06/08/2012 |
| Medicare PECOS PAC ID | 4880745629 |
|---|---|
| Medicare Enrollment ID | O20090708000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629210042 | NPI | - | NPPES |
| 1954306 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James S May |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255361879 PECOS PAC ID: 3072581958 Enrollment ID: I20040918000172 |
| Provider Name | Kaytlin H Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619490166 PECOS PAC ID: 9830464577 Enrollment ID: I20190912002345 |
| Provider Name | Celeste Alexandra Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881394427 PECOS PAC ID: 0941667935 Enrollment ID: I20230607000132 |
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 | |
Shreveport Family Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 Pines Road, Suite 1250, Shreveport, LA 71129 Phone: 318-686-3770 Fax: 318-686-3838 |