| Forrest P Wall, MD | |
|
385 Bert Kouns Industrial Loop Ste 100, Shreveport, LA 71106-8159 | |
| (318) 221-1629 | |
| (318) 221-6308 |
| Full Name | Forrest P Wall |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 33 Years |
| Location | 385 Bert Kouns Industrial Loop Ste 100, Shreveport, Louisiana |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699758474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 10089R (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Entity Name | The Plastic Surgery Center Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700929874 PECOS PAC ID: 5597789297 Enrollment ID: O20060120000580 |
| Mailing Address | Practice Location Address |
|---|---|
| Forrest P Wall, MD 385 Bert Kouns Industrial Loop Bldg 100, Shreveport, LA 71106-8124 Ph: (318) 221-1629 | Forrest P Wall, MD 385 Bert Kouns Industrial Loop Ste 100, Shreveport, LA 71106-8159 Ph: (318) 221-1629 |
James R Barnes, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Koun Loop, Suite #105, Shreveport, LA 71105 Phone: 318-798-4433 Fax: 318-798-4432 | |
Mary T Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-6154 | |
Dr. Paul E Perkowski, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833 | |
Dr. James Booth Burke, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1202 Louisiana Avenue, Shreveport, LA 71101 Phone: 318-212-8780 Fax: 318-212-6752 | |
Jennifer Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Surgery, Shreveport, LA 71103 Phone: 318-675-2655 | |
Dr. Terry Lairmore, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Dr. Mark H Smith, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2751 Albert L Bicknell Dr, Suite 3d, Shreveport, LA 71103 Phone: 318-212-4799 Fax: 318-424-3642 |