| Wk Red River Internal Medicine | |
|
2300 Hospital Dr Suite 320 Bossier City LA 71111-2394 | |
| (318) 212-7848 | |
| (318) 212-7855 |
| Full Name | Wk Red River Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2300 Hospital Dr, Bossier City, Louisiana |
| Authorized Official Name and Position | Greg J. Gavin (NETWORK ADMINISTRATOR) |
| Authorized Official Contact | 3182124132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Red River Internal Medicine 2300 Hospital Dr Suite 320 Bossier City LA 71111-2394 Ph: (318) 212-7848 | Wk Red River Internal Medicine 2300 Hospital Dr Suite 320 Bossier City LA 71111-2394 Ph: (318) 212-7848 |
| NPI Number | 1992023998 |
|---|---|
| Provider Enumeration Date | 05/14/2010 |
| Last Update Date | 06/11/2012 |
| Medicare PECOS PAC ID | 3274716386 |
|---|---|
| Medicare Enrollment ID | O20110328000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992023998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Leslie J Sewell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083655971 PECOS PAC ID: 2163486283 Enrollment ID: I20041117000831 |
| Provider Name | Cortney L Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093086274 PECOS PAC ID: 8123285178 Enrollment ID: I20120203000111 |
| Provider Name | Tammy Guy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912261173 PECOS PAC ID: 3971737297 Enrollment ID: I20130927000561 |
| Provider Name | Amanda Jane Billingsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679926141 PECOS PAC ID: 3375838626 Enrollment ID: I20160825000471 |
| Provider Name | Tanya Nicole Slayter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316410236 PECOS PAC ID: 4284975681 Enrollment ID: I20190412000491 |
| Provider Name | Erin L Clements |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053769380 PECOS PAC ID: 6901192020 Enrollment ID: I20190814002824 |
| Provider Name | Lindsey Williams Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598482861 PECOS PAC ID: 5597136119 Enrollment ID: I20230118002809 |
Bossier Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2539 Viking Dr Ste 101, Bossier City, LA 71111 Phone: 318-747-8100 Fax: 318-747-8151 | |
Rapid Care Of Bossier Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5015 Shed Rd, Suite 400, Bossier City, LA 71111 Phone: 318-584-7301 Fax: 318-741-4496 | |
Charles A Powers Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Dr, Suite 420, Bossier City, LA 71111 Phone: 318-212-7910 Fax: 318-212-7915 | |
Willow Chute Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4910 Airline Dr, Bossier City, LA 71111 Phone: 318-349-3921 | |
Abaka Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4438 Viking Dr, Bossier City, LA 71111 Phone: 318-918-0015 Fax: 318-963-0015 | |
Allen Cox Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Hospital Dr, Suite 200, Bossier City, LA 71111 Phone: 318-212-7830 Fax: 318-212-7835 | |
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 |