| Dr Roan L Flenniken, MD | |
|
1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | |
| (318) 798-4577 | |
| (318) 798-4672 |
| Full Name | Dr Roan L Flenniken |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 42 Years |
| Location | 1455 E 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023012960 | NPI | - | NPPES |
| 110091280 | Other | LA | RAILROAD MEDICARE NUMBER |
| 1358070 | Medicaid | LA | |
| 1053315846 | Other | LA | GROUP NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 017132 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Louisiana Homecare | Mansfield, LA | Home health agency |
| Red River Home Health Care | Bossier city, 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 |
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cornerstone Therapy And Balance Center Llc | 0345397899 | 75 |
| Highland Clinic, A Prof Med Corp | 3870493463 | 55 |
| Entity Name | Highland Clinic, A Prof Med Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053315846 PECOS PAC ID: 3870493463 Enrollment ID: O20040220000551 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roan L Flenniken, MD 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 Ph: (318) 798-4488 | Dr Roan L Flenniken, MD 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 Ph: (318) 798-4577 |
Mansi Shah, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr Ste 720, Shreveport, LA 71115 Phone: 318-212-3833 Fax: 318-212-3841 | |
Pratik Agrawal, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Dr. Bader Alotaibi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2727 Hearne Ave Ste 301, Shreveport, LA 71103 Phone: 318-631-6400 | |
Paul A Rushing, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4488 Fax: 318-798-4420 | |
Sanjay Jain, Internal Medicine Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Primary Care (110), Shreveport, LA 71101 Phone: 318-221-8411 | |
Steven R Bailey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Venkateswara K Rao, M.D., Internal Medicine Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Medicine, Shreveport, LA 71103 Phone: 318-675-5000 |