| Dr Mark Edward Boersma, MD | |
|
503 Mcmillan Rd, West Monroe, LA 71291-5327 | |
| (318) 329-4744 | |
| (318) 329-4719 |
| Full Name | Dr Mark Edward Boersma |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 503 Mcmillan Rd, West Monroe, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518104439 | NPI | - | NPPES |
| 1689483 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | MD.021951 (Louisiana) | Primary |
| 207R00000X | Internal Medicine | MD.021951 (Louisiana) | Secondary |
| Entity Name | Northern Louisiana Emergency Physicians, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588828172 PECOS PAC ID: 9638246846 Enrollment ID: O20080930000036 |
| Entity Name | Northern Louisiana Emergency Physicians, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598995847 PECOS PAC ID: 9638246846 Enrollment ID: O20090903000029 |
| Entity Name | Physician Group Of Louisiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316188998 PECOS PAC ID: 8921147067 Enrollment ID: O20091202000287 |
| Entity Name | Hni Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366735169 PECOS PAC ID: 6406028810 Enrollment ID: O20141118000854 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Edward Boersma, MD 503 Mcmillan Rd, West Monroe, LA 71291-5327 Ph: (318) 329-4744 | Dr Mark Edward Boersma, MD 503 Mcmillan Rd, West Monroe, LA 71291-5327 Ph: (318) 329-4744 |
Dr. Stephen K Horne, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 503 Mcmillan Rd, West Monroe, LA 71291 Phone: 318-329-4744 Fax: 318-329-4719 | |
Dr. William C Alexander, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 503 Mcmillan Rd, West Monroe, LA 71291 Phone: 318-329-4744 Fax: 318-329-4744 | |
Mr. Aaron Len Marquardt, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 503 Mcmillan Rd, West Monroe, LA 71291 Phone: 318-329-4744 Fax: 318-329-4719 | |
Dr. Robert Luis Garcia, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 503 Mcmillan Rd, West Monroe, LA 71291 Phone: 318-329-4744 Fax: 318-329-4719 |