| Wk Shreveport Infectious Disease | |
|
8001 Youree Dr Suite 750 Shreveport LA 71115-2302 | |
| (318) 212-3939 | |
| (318) 212-3965 |
| Full Name | Wk Shreveport Infectious Disease |
|---|---|
| Speciality | Internal Medicine |
| Location | 8001 Youree Dr, 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 Shreveport Infectious Disease 8001 Youree Dr Suite 750 Shreveport LA 71115-2302 Ph: (318) 212-3939 | Wk Shreveport Infectious Disease 8001 Youree Dr Suite 750 Shreveport LA 71115-2302 Ph: (318) 212-3939 |
| NPI Number | 1992946404 |
|---|---|
| Provider Enumeration Date | 03/12/2009 |
| Last Update Date | 06/08/2012 |
| Medicare PECOS PAC ID | 2668529579 |
|---|---|
| Medicare Enrollment ID | O20090413000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992946404 | NPI | - | NPPES |
| 1792969 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Gerardo Negron |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396795795 PECOS PAC ID: 4880774686 Enrollment ID: I20080107000430 |
| Provider Name | Guillermo O Padilla-pineda |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124229265 PECOS PAC ID: 3476600388 Enrollment ID: I20090413000022 |
| Provider Name | Hector Brunet Rodriguez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104075290 PECOS PAC ID: 1254519804 Enrollment ID: I20150708002640 |
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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