| Dr Timothy Mark Hart, MD | |
|
2400 Hospital Dr, Suite 240, Bossier City, LA 71111-2385 | |
| (318) 742-5800 | |
| (318) 741-3902 |
| Full Name | Dr Timothy Mark Hart |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 2400 Hospital Dr, Bossier City, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033148515 | NPI | - | NPPES |
| 1306789 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD.012326 (Louisiana) | Primary |
| Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy Mark Hart, MD 2400 Hospital Dr, Suite 240, Bossier City, LA 71111-2385 Ph: (318) 742-5800 | Dr Timothy Mark Hart, MD 2400 Hospital Dr, Suite 240, Bossier City, LA 71111-2385 Ph: (318) 742-5800 |
Dr. John Richard Carter, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Dr, Suite 240, Bossier City, LA 71111 Phone: 318-742-5800 Fax: 318-741-3902 | |
Emily Gay Womack, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Dr Ste 240, Bossier City, LA 71111 Phone: 251-415-1557 | |
Dr. Katherine Leslie Dean, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Dr, Suite 240, Bossier City, LA 71111 Phone: 318-742-5800 Fax: 318-741-3902 | |
Amanda Williams, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Dr Ste 400, Bossier City, LA 71111 Phone: 318-212-7973 Fax: 318-212-7836 | |
Glenda Johnson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Dr, Suite 240, Bossier City, LA 71111 Phone: 318-742-5800 Fax: 318-741-3902 | |
Karen Lillich Berken, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Dr Ste 240, Bossier City, LA 71111 Phone: 318-212-7931 Fax: 318-212-7935 |