| Jonathon Sossamon, | |
|
403 W 8th St, Deridder, LA 70634-5507 | |
| (337) 463-8977 | |
| (337) 462-3093 |
| Full Name | Jonathon Sossamon |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 403 W 8th St, Deridder, 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 |
|---|---|---|---|
| 1114304375 | NPI | - | NPPES |
| 2398318 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 303959 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dequincy Home Health | Dequincy, LA | Home health agency |
| Elara Caring | Leesville, LA | Home health agency |
| Beauregard Memorial Hosp Hha | Deridder, LA | Home health agency |
| Beauregard Memorial Hospital | Deridder, LA | Hospital |
| Rosepine Retirement & Rehab Center, Llc | Rosepine, LA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physical Therapy Services Of West Louisiana Inc | 0446388763 | 69 |
| Family Healthcare Of Beauregard, Llc | 8729208830 | 2 |
| Entity Name | Family Healthcare Of Beauregard, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982017273 PECOS PAC ID: 8729208830 Enrollment ID: O20141011000004 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathon Sossamon, Po Box 935, Deridder, LA 70634-0935 Ph: (337) 463-8977 | Jonathon Sossamon, 403 W 8th St, Deridder, LA 70634-5507 Ph: (337) 463-8977 |
Dr. Flynn A Taylor I, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Pine St, Deridder, LA 70634 Phone: 337-463-9890 Fax: 337-462-9521 | |
Dr. Jeffrey Dobbins, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 S Pine St, Deridder, LA 70634 Phone: 337-462-6070 Fax: 337-462-0091 | |
Dr. Randall Coy Duplechain, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 South Pine Street, Deridder, LA 70634 Phone: 337-462-1080 Fax: 337-462-5346 | |
Dr. Warren Walter Gremmel Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 S Washington St, Deridder, LA 70634 Phone: 337-462-5227 Fax: 337-462-5228 | |
Dr. Christopher Lee Granger, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 403 W 8th St, Deridder, LA 70634 Phone: 337-463-8977 Fax: 337-462-3093 | |
Dr. Edwin R Bonilla, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 W 8th St, Deridder, LA 70634 Phone: 337-463-8977 Fax: 337-462-3093 |