Mr Mark Alan Cogburn, LPC,LMFT is a
Clinical Nurse Specialist based in Shreveport, Louisiana. Mr Mark Alan Cogburn is licensed to practice in Louisiana (license number AP06313) and his current practice location is
1541 Kings Hwy, Shreveport, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 626-0000.
NPI number for Mr Mark Alan Cogburn is 1952458713 and his current mailing address is 1541 Kings Hwy, Attn: Payor Credentialing, Shreveport, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952458713.
Healthcare Provider's Profile
Full Name | Mr Mark Alan Cogburn |
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Gender | Male |
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Speciality | Clinical Nurse Specialist |
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Location | 1541 Kings Hwy, Shreveport, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952458713
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 09/17/2024
Medical Identifiers
Medical identifiers for Mr Mark Alan Cogburn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952458713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 1595 (Louisiana) | Secondary |
106H00000X | Marriage & Family Therapist | 177 (Louisiana) | Secondary |
364S00000X | Clinical Nurse Specialist | AP06313 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark Alan Cogburn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Mark Alan Cogburn, LPC,LMFT 1541 Kings Hwy, Attn: Payor Credentialing, Shreveport, LA 71103-4228 Ph: (318) 626-0287 | Mr Mark Alan Cogburn, LPC,LMFT 1541 Kings Hwy, Shreveport, LA 71103 Ph: (318) 626-0000 |
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