| Mr Wyche Taylor Coleman Jr, MD | |
|
1633 Marvel St, Coushatta, LA 71019-9022 | |
| (318) 932-9980 | |
| (318) 932-9906 |
| Full Name | Mr Wyche Taylor Coleman Jr |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 47 Years |
| Location | 1633 Marvel St, Coushatta, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710984513 | NPI | - | NPPES |
| 1303003 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 015031 (Louisiana) | Secondary |
| 207Q00000X | Family Medicine | 015031 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Coushatta, LA | Home health agency |
| Lagniappe Homecare Northwest Louisiana | Natchitoches, LA | Home health agency |
| Louisiana Homecare | Mansfield, LA | Home health agency |
| Christus Coushatta Health Care Center | Coushatta, LA | Hospital |
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wyche T. Coleman, M.d., Limited | 3870500580 | 2 |
| Entity Name | Wyche T. Coleman, M.d., Limited |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003984493 PECOS PAC ID: 3870500580 Enrollment ID: O20060321000167 |
| Entity Name | Coushatta Er Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427480680 PECOS PAC ID: 2860629631 Enrollment ID: O20131226001361 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Wyche Taylor Coleman Jr, MD 1633 Marvel St, Coushatta, LA 71019-9022 Ph: (318) 932-9980 | Mr Wyche Taylor Coleman Jr, MD 1633 Marvel St, Coushatta, LA 71019-9022 Ph: (318) 932-9980 |
Dr. Joshua Ray Cason, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1635 Marvel St, Coushatta, LA 71019 Phone: 318-932-2085 Fax: 318-932-2211 | |
Omar De Jesus Gutierrez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1635 Marvel St, Coushatta, LA 71019 Phone: 318-932-2000 | |
Dr. Martin John Carter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1633 Marvel St, Coushatta, LA 71019 Phone: 318-932-9980 | |
Sarah Herbel, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1635 Marvel St, Coushatta, LA 71019 Phone: 318-932-2085 Fax: 318-932-2186 | |
Dr. Shannon Gammill Berry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1635 Marvel St, Coushatta, LA 71019 Phone: 318-932-2000 | |
Don Gregory Bell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1633 Marvel St, Coushatta, LA 71019 Phone: 318-932-2170 Fax: 318-932-2242 |