| Wk Urgent Care Center - Bossier | |
|
2300 Hospital Dr Suite 180 Bossier City LA 71111-2394 | |
| (318) 212-7520 | |
| (318) 212-7523 |
| Full Name | Wk Urgent Care Center - Bossier |
|---|---|
| Speciality | Family Medicine |
| Location | 2300 Hospital Dr, Bossier City, Louisiana |
| Authorized Official Name and Position | Greg J. Gavin (NETWORK ADMINISTRATOR) |
| Authorized Official Contact | 3182127520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Urgent Care Center - Bossier 2300 Hospital Dr Suite 180 Bossier City LA 71111-2394 Ph: (318) 212-7520 | Wk Urgent Care Center - Bossier 2300 Hospital Dr Suite 180 Bossier City LA 71111-2394 Ph: (318) 212-7520 |
| NPI Number | 1982640884 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 06/08/2012 |
| Medicare PECOS PAC ID | 3375531114 |
|---|---|
| Medicare Enrollment ID | O20050119000787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982640884 | NPI | - | NPPES |
| 1441317 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Catherine Speights |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942241450 PECOS PAC ID: 1355253840 Enrollment ID: I20031103000665 |
| Provider Name | Aaron L Lirette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194794800 PECOS PAC ID: 3678523834 Enrollment ID: I20050125000930 |
| Provider Name | Sanjaykumar B Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740226505 PECOS PAC ID: 3971556127 Enrollment ID: I20050228000591 |
| Provider Name | Thanh D Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184658635 PECOS PAC ID: 6608894464 Enrollment ID: I20051110000059 |
| Provider Name | Angela Marie Birdsong Fellows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134215361 PECOS PAC ID: 2163424565 Enrollment ID: I20070214000249 |
| Provider Name | Man Ton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700097425 PECOS PAC ID: 0749353605 Enrollment ID: I20080725000080 |
| Provider Name | Stephen Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598797789 PECOS PAC ID: 4486835469 Enrollment ID: I20110223001089 |
| Provider Name | Tri H Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952628802 PECOS PAC ID: 3678716107 Enrollment ID: I20130830000304 |
| Provider Name | West Charles Chandler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790928232 PECOS PAC ID: 1557511037 Enrollment ID: I20140130001277 |
| Provider Name | Savita S Thorat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659503761 PECOS PAC ID: 9335398064 Enrollment ID: I20140311001245 |
| Provider Name | Robert C Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972863231 PECOS PAC ID: 9436382025 Enrollment ID: I20140506001746 |
| Provider Name | Adrian Pavlick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750647376 PECOS PAC ID: 3779898887 Enrollment ID: I20150819007201 |
| Provider Name | Angela Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639545692 PECOS PAC ID: 4486961257 Enrollment ID: I20150911001480 |
| Provider Name | Holly E Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336516533 PECOS PAC ID: 7618284795 Enrollment ID: I20150922002816 |
| Provider Name | Joseph Pistone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831189836 PECOS PAC ID: 9739203027 Enrollment ID: I20150929002020 |
| Provider Name | Jamiee Lynn Brice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598137374 PECOS PAC ID: 5092017533 Enrollment ID: I20151230001189 |
| Provider Name | Danielle G Raley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194169466 PECOS PAC ID: 8729383138 Enrollment ID: I20160523000199 |
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 |