| John Marshall Mckenzie, MD | |
|
1501 Kings Hwy, Shreveport, LA 71103-4228 | |
| (318) 675-5000 | |
| Not Available |
| Full Name | John Marshall Mckenzie |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1501 Kings Hwy, Shreveport, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366547846 | NPI | - | NPPES |
| 4Q803F600 | Other | LA | MEDICARE - PTAN |
| 2176021 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 016357 (Louisiana) | Primary |
| Entity Name | Longview Wellness Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942269493 PECOS PAC ID: 1254367766 Enrollment ID: O20050714001046 |
| Mailing Address | Practice Location Address |
|---|---|
| John Marshall Mckenzie, MD 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: (318) 675-5000 | John Marshall Mckenzie, MD 1501 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 675-5000 |
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 | |
Jaya R Mcsharma, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 700 Texas St Ste 101, Shreveport, LA 71101 Phone: 318-777-6843 Fax: 318-625-5520 | |
Dr. Kirk Anthony Grantham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2530 Bert Kouns Loop, Suite 138, Shreveport, LA 71118 Phone: 318-588-4726 Fax: 318-900-7828 | |
Ammar Husan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Dr. Jode Jann Burgin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9220 Ellerbe Rd, Suite 700, Shreveport, LA 71106 Phone: 318-681-5282 Fax: 318-681-5284 |