| Deborah Maureen Wynn, | |
|
815 S Pine St, Vivian, LA 71082-3353 | |
| (318) 375-3239 | |
| Not Available |
| Full Name | Deborah Maureen Wynn |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 815 S Pine St, Vivian, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912527078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 339845 (Louisiana) | Secondary |
| 207Q00000X | Family Medicine | 339845 (Louisiana) | Primary |
| 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 B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477798668 PECOS PAC ID: 4385544584 Enrollment ID: O20090424000082 |
| 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 | Benton Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932585841 PECOS PAC ID: 1456669654 Enrollment ID: O20151008001618 |
| Entity Name | Blanchard Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760089791 PECOS PAC ID: 8325450315 Enrollment ID: O20201216001046 |
| Entity Name | South Bossier Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649993585 PECOS PAC ID: 2567830060 Enrollment ID: O20231128003773 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Maureen Wynn, 815 S Pine St, Vivian, LA 71082-3353 Ph: (318) 375-3239 | Deborah Maureen 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 |