| Dr Jenness Doniphan Courtney Iii, MD | |
|
1801 Fairfield Ave, Suite 411, Shreveport, LA 71101-4443 | |
| (318) 424-4224 | |
| (318) 424-4044 |
| Full Name | Dr Jenness Doniphan Courtney Iii |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 30 Years |
| Location | 1801 Fairfield Ave, Shreveport, 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 |
|---|---|---|---|
| 1811980675 | NPI | - | NPPES |
| 078793901 | Other | TX | TX MCD |
| 1494135 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 023053 (Louisiana) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | E1524 (Arkansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Minden Medical Center | Minden, LA | Hospital |
| Entity Name | Northwest Louisiana Physical Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720071590 PECOS PAC ID: 9830146281 Enrollment ID: O20050407000236 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jenness Doniphan Courtney Iii, MD 1801 Fairfield Ave, Suite 411, Shreveport, LA 71101-4443 Ph: (318) 424-4224 | Dr Jenness Doniphan Courtney Iii, MD 1801 Fairfield Ave, Suite 411, Shreveport, LA 71101-4443 Ph: (318) 424-4224 |
Adam Saad Mossallati, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1111 Line Ave, Shreveport, LA 71101 Phone: 318-716-4770 Fax: 318-716-4791 | |
Dr. Mrunalini B Shah, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1130 Louisiana Ave, Shreveport, LA 71101 Phone: 318-678-4472 | |
James Curtis Lyons, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1715 Marycrest Ave Ste 200, Shreveport, LA 71101 Phone: 318-751-9100 Fax: 318-751-9101 | |
Dr. V Singh, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Wade Wyckoff, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1111 Line Ave, Shreveport, LA 71101 Phone: 318-716-4545 | |
Dharam Gurwara, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6821 Pines Rd Ste 400, Shreveport, LA 71129 Phone: 318-686-5255 Fax: 318-686-5239 | |
John Eric Bicknell Sr., MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 7925 Youree Drive, Suite 280a, Shreveport, LA 71105 Phone: 318-798-6833 Fax: 318-798-6835 |