| Dr Jimmy R Coughran, MD | |
|
101 Fair Avenue, Winnsboro, LA 71295-2116 | |
| (318) 435-8020 | |
| (318) 435-8099 |
| Full Name | Dr Jimmy R Coughran |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 101 Fair Avenue, Winnsboro, 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 |
|---|---|---|---|
| 1568438323 | NPI | - | NPPES |
| L92023 | Other | LA | VANTAGE PROVIDER |
| 1449130 | Medicaid | LA | |
| 5287021 | Other | LA | AETNA PROVIDER NUMBER |
| 1971391 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 021579 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mangham Home Care, Inc. | Mangham, LA | Home health agency |
| Elara Caring | Winnsboro, LA | Home health agency |
| Hospice Tlc, Inc | Winnsboro, LA | Hospice |
| Franklin Medical Center | Winnsboro, LA | Hospital |
| St Francis Medical Center | Monroe, LA | Hospital |
| Citizens Medical Center | Columbia, LA | Hospital |
| Monroe Surgical Hospital | Monroe, LA | Hospital |
| Plantation Manor Nursing And Rehab Center, Llc | Winnsboro, LA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jimmy R Coughran A Medical Corporation | 2769430347 | 6 |
| Entity Name | Jimmy R Coughran A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982748224 PECOS PAC ID: 2769430347 Enrollment ID: O20050111000076 |
| Entity Name | Southern Medical Services Of Louisiana, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225453335 PECOS PAC ID: 9931451754 Enrollment ID: O20181005001542 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jimmy R Coughran, MD Po Box 730, Winnsboro, LA 71295-0730 Ph: (318) 435-8020 | Dr Jimmy R Coughran, MD 101 Fair Avenue, Winnsboro, LA 71295-2116 Ph: (318) 435-8020 |
Charles E Reed, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3326 Front St, Suite B, Winnsboro, LA 71295 Phone: 318-435-7333 Fax: 318-435-9061 | |
Logan Matthew Atkins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2106 Loop Rd, Winnsboro, LA 71295 Phone: 318-412-5265 | |
Joel Glen Eldridge, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 233 Taylor Ave, Winnsboro, LA 71295 Phone: 318-435-8363 Fax: 318-435-0406 | |
Dr. Charlotte Astrid Vivienne Vonn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2106 Loop Rd, Winnsboro, LA 71295 Phone: 318-435-9411 | |
Ms. Rinata Kaye Richard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2106 Loop Rd, Winnsboro, LA 71295 Phone: 318-435-9411 | |
Mrs. Alexandra Cooper Berry, Family Medicine Medicare: Medicare Enrolled Practice Location: 2106 Loop Rd, Winnsboro, LA 71295 Phone: 318-412-5265 Fax: 318-435-3842 |