Dr Kirk Anthony Grantham, MD in Shreveport, LA

Dr Kirk Anthony Grantham, MD is a medicare enrolled "Family Medicine" physician in Shreveport, Louisiana. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Wound Care Contractors Llc and his current practice location is 2530 Bert Kouns Loop, Suite 138, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 588-4726.

Dr Kirk Anthony Grantham is licensed to practice in Louisiana (license number MD.205467) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023241403.

Contact Information

	Dr Kirk Anthony Grantham, MD
	2530 Bert Kouns Loop, Suite 138, Shreveport, LA 71118-3132
	(318) 588-4726
	(318) 900-7828

Map and Direction

Physician's Profile

Full Name	Dr Kirk Anthony Grantham
Gender	Male
Speciality	Family Practice
Experience	15 Years
Location	2530 Bert Kouns Loop, 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.

Medical Education and Training:

Dr Kirk Anthony Grantham graduated from medical school in 2009

NPI Data:

NPI Number: 1023241403
Provider Enumeration Date: 09/01/2009
Last Update Date: 06/08/2021

Medicare PECOS Information:

PECOS PAC ID: 3870759236
Enrollment ID: I20120730000631

Medical Identifiers

Medical identifiers for Dr Kirk Anthony Grantham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023241403	NPI	-	NPPES
193488001	Other	AR	AR MEDICAID
2303732	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	TRN 14355 (Florida)	Secondary
207Q00000X	Family Medicine	MD.205467 (Louisiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wound Care Contractors Llc	5991139644	5

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kirk Anthony Grantham allows following entities to bill medicare on his behalf.

Entity Name	Wk Hyperbaric & Wound Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417100264 PECOS PAC ID: 4183787799 Enrollment ID: O20090108000169

Entity Name	Wk Bossier Hyperbaric And Wound Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508295338 PECOS PAC ID: 7315176898 Enrollment ID: O20140203000731

Entity Name	Wound Care Contractors Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548818735 PECOS PAC ID: 5991139644 Enrollment ID: O20200106000906

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kirk Anthony Grantham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kirk Anthony Grantham, MD Po Box 1264, Benton, LA 71006-1264 Ph: (318) 588-4726	Dr Kirk Anthony Grantham, MD 2530 Bert Kouns Loop, Suite 138, Shreveport, LA 71118-3132 Ph: (318) 588-4726

Reviews and Comments

Family Medicine Doctors in Shreveport, LA

Ratnam Baby Nagalla, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 870 Olive St, Shreveport, LA 71104 Phone: 318-629-0480 Fax: 318-629-0483
David Juston Colvin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8383 Millicent Way, Shreveport, LA 71115 Phone: 318-797-6661 Fax: 318-795-8512
Susan Michelle Self, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr, Suite 540, Shreveport, LA 71115 Phone: 318-212-3810 Fax: 318-212-3815
Ayesha Tabassom, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833
David Henry, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7813 Youree Dr, Shreveport, LA 71105 Phone: 318-212-3830 Fax: 318-212-3835
Ammar Husan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000

Dr Kirk Anthony Grantham, MD - Medicare Family Practice in Shreveport, LA