| Wyche T. Coleman, M.d., Limited | |
|
1633 Marvel Street Coushatta LA 71019 | |
| (318) 932-9980 | |
| (318) 932-9906 |
| Full Name | Wyche T. Coleman, M.d., Limited |
|---|---|
| Speciality | Family Medicine |
| Location | 1633 Marvel Street, Coushatta, Louisiana |
| Authorized Official Name and Position | Wyche Taylor Coleman (PHYSICIAN) |
| Authorized Official Contact | 3189329980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyche T. Coleman, M.d., Limited 1633 Marvel Street Coushatta LA 71019 Ph: (318) 932-9980 | Wyche T. Coleman, M.d., Limited 1633 Marvel Street Coushatta LA 71019 Ph: (318) 932-9980 |
| NPI Number | 1003984493 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3870500580 |
|---|---|
| Medicare Enrollment ID | O20060321000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003984493 | NPI | - | NPPES |
| 1447994 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 015031 (Louisiana) | Primary |
| Provider Name | Wyche T Coleman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1710984513 PECOS PAC ID: 2668489378 Enrollment ID: I20060323000042 |
| Provider Name | Martin Carter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487865937 PECOS PAC ID: 4688729908 Enrollment ID: I20090909000609 |
Joshua R Cason Limited Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 Ringgold Ave, Suite B, Coushatta, LA 71019 Phone: 318-932-2081 Fax: 318-932-2215 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 E Carrol St, Coushatta, LA 71019 Phone: 833-784-2669 Fax: 844-784-2329 | |
Matrix Therapy Solutions, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5024 Cut Off Rd Ste B, Coushatta, LA 71019 Phone: 318-560-7300 Fax: 318-932-7946 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 E Carrol St, Coushatta, LA 71019 Phone: 318-932-4221 | |
Esther M. Holloway, M.d., Apmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1633 Marvel Street, Coushatta, LA 71019 Phone: 318-932-8937 Fax: 318-932-8939 | |
D Gregory Bell Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1633 Marvel St, Coushatta, LA 71019 Phone: 318-932-2170 Fax: 318-932-2242 |