| Dr Donna Lynn Wyatt, MD | |
|
1701 Jimmie Davis Hwy, Ste 200, Bossier City, LA 71112-4515 | |
| (318) 681-1660 | |
| (318) 681-1661 |
| Full Name | Dr Donna Lynn Wyatt |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 1701 Jimmie Davis Hwy, Bossier City, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962606558 | NPI | - | NPPES |
| 3853003324 | Other | MYUTMB 3853003324-COMMERCIAL NUMBER | |
| 2350471 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N3885 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stat Home Health Of Northwest Louisiana, Llc | Sibley, LA | Home health agency |
| Christus Homecare Schumpert | Shreveport, LA | Home health agency |
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cornerstone Therapy And Balance Center Llc | 0345397899 | 75 |
| Christus Trinity Clinic | 3072426741 | 1246 |
| Entity Name | C H Wilkinson Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457382947 PECOS PAC ID: 8921919580 Enrollment ID: O20070911000793 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20200910000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Donna Lynn Wyatt, MD 919 Hidden Rdg, Irving, TX 75038-3813 Ph: (469) 282-2711 | Dr Donna Lynn Wyatt, MD 1701 Jimmie Davis Hwy, Ste 200, Bossier City, LA 71112-4515 Ph: (318) 681-1660 |
Allen L. Cox, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2300 Hospital Dr, Suite 200, Bossier City, LA 71111 Phone: 318-212-7830 Fax: 318-212-7835 | |
Daniel L. Payne, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr, Suite 200, Bossier City, LA 71111 Phone: 318-212-7830 Fax: 318-212-7835 | |
Scott Louis Mighell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr, Suite 200, Bossier City, LA 71111 Phone: 318-212-7830 Fax: 318-212-7835 | |
Jason K Milligan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr, Suite 420, Bossier City, LA 71111 Phone: 318-212-7839 Fax: 318-212-7837 | |
Dr. William F. Maranto, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2539 Viking Dr, Suite 101, Bossier City, LA 71111 Phone: 318-747-8100 Fax: 318-747-8152 | |
Dr. Aaron L. Lirette, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr., Suite 180, Bossier City, LA 71111 Phone: 318-212-7523 Fax: 318-212-7757 | |
Dr. Julie Chun, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2539 Viking Dr Ste 101, Bossier City, LA 71111 Phone: 318-747-8100 Fax: 318-747-8150 |