| Andrew Wynn, | |
|
815 S Pine St, Vivian, LA 71082-3353 | |
| (318) 375-3239 | |
| Not Available |
| Full Name | Andrew Wynn |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 7 Years |
| Location | 815 S Pine St, Vivian, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154999712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | W6003 (Texas) | Primary |
| 207P00000X | Emergency Medicine | 341036 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Shreveport-bossier Health System | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Highland Emergency Group, Llc | 6800295890 | 42 |
| Entity Name | North Caddo Hospital Service District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326016684 PECOS PAC ID: 4385544584 Enrollment ID: O20040113000307 |
| Entity Name | North Caddo Hospital Service District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1326016684 PECOS PAC ID: 4385544584 Enrollment ID: O20090508000441 |
| Entity Name | Highland Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154913861 PECOS PAC ID: 6800295890 Enrollment ID: O20210524002901 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Wynn, Po Box 792, Vivian, LA 71082-0792 Ph: (318) 375-3232 | Andrew Wynn, 815 S Pine St, Vivian, LA 71082-3353 Ph: (318) 375-3239 |
Walker May, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1003 S Spruce St, Ncmc Medical And Surgical Clinic, Vivian, LA 71082 Phone: 318-375-3239 Fax: 318-375-2755 |
Stephen Glenn Taylor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1003 S Spruce St, Vivian, LA 71082 Phone: 318-375-3239 Fax: 318-375-2953 |
John Woods, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 815 S Pine St, Vivian, LA 71082 Phone: 318-375-3235 Fax: 318-375-5938 |
John Mac Chandler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 815 S Pine St, Vivian, LA 71082 Phone: 318-375-3235 Fax: 318-375-5938 |