| Joseph A Walters Jr, MD | |
|
425 S Vine St, Bastrop, LA 71220-4513 | |
| (318) 283-3960 | |
| (318) 239-8960 |
| Full Name | Joseph A Walters Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 425 S Vine St, Bastrop, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740490895 | NPI | - | NPPES |
| 1077038 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 203093 (Louisiana) | Primary |
| Entity Name | Morehouse General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790966638 PECOS PAC ID: 4284528274 Enrollment ID: O20040211000117 |
| Entity Name | Brfhh Monroe Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811324882 PECOS PAC ID: 0042446577 Enrollment ID: O20140403001947 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20140930001176 |
| 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 |
|---|---|
| Joseph A Walters Jr, MD Po Box 293, Bastrop, LA 71221-0293 Ph: (318) 283-3620 | Joseph A Walters Jr, MD 425 S Vine St, Bastrop, LA 71220-4513 Ph: (318) 283-3960 |
Dr. Mahmoud Sheikh-khalil, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Durham St, Bastrop, LA 71220 Phone: 318-281-2008 Fax: 318-281-2038 |