Wkb Family Medicine Associates | |
2449 Hospital Dr Suite 420 Bossier City LA 71111-2399 | |
(318) 212-7839 | |
Not Available |
Full Name | Wkb Family Medicine Associates |
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Speciality | Family Medicine |
Location | 2449 Hospital Dr, Bossier City, 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 |
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Wkb Family Medicine Associates 2449 Hospital Dr Suite 420 Bossier City LA 71111-2399 Ph: (318) 212-7839 | Wkb Family Medicine Associates 2449 Hospital Dr Suite 420 Bossier City LA 71111-2399 Ph: (318) 212-7839 |
NPI Number | 1972746097 |
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Provider Enumeration Date | 04/20/2009 |
Last Update Date | 06/08/2012 |
Medicare PECOS PAC ID | 4183777147 |
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Medicare Enrollment ID | O20090810000022 |
Identifier | Type | State | Issuer |
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1972746097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jason K Milligan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114138864 PECOS PAC ID: 8628122512 Enrollment ID: I20090811000652 |
Provider Name | Clint N Wilson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427269059 PECOS PAC ID: 8820142680 Enrollment ID: I20090813000736 |
Provider Name | Sarah M Estess |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588088827 PECOS PAC ID: 9032341409 Enrollment ID: I20140417000849 |
Provider Name | Danielle G Raley |
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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 |