| Wyche Taylor Coleman Iii, | |
|
2530 Bert Kouns Industrial Loop Ste 116, Shreveport, LA 71118-3153 | |
| (318) 212-5901 | |
| (318) 212-5905 |
| Full Name | Wyche Taylor Coleman Iii |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 19 Years |
| Location | 2530 Bert Kouns Industrial Loop Ste 116, Shreveport, 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 |
|---|---|---|---|
| 1841491826 | NPI | - | NPPES |
| 09976 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | MD.203333 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Natchitoches Regional Medical Center | Natchitoches, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wk Pierremont Eye Institute | 3375563216 | 12 |
| Entity Name | Wk Pierremont Eye Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932130192 PECOS PAC ID: 3375563216 Enrollment ID: O20051206000964 |
| Entity Name | Natchitoches Family Eye Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508943374 PECOS PAC ID: 0042312258 Enrollment ID: O20070219000406 |
| 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 |
|---|---|
| Wyche Taylor Coleman Iii, 2611 Greenwood Rd, Department Of Family Medicine, Shreveport, LA 71103-3907 Ph: (318) 675-5000 | Wyche Taylor Coleman Iii, 2530 Bert Kouns Industrial Loop Ste 116, Shreveport, LA 71118-3153 Ph: (318) 212-5901 |
Claude Youngblood Bundrick Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 471 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775 | |
Rogelio Orillac, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Ophthalmology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666 | |
Thomas Boone Redens, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Ophthalmology, Shreveport, LA 71103 Phone: 318-675-6901 Fax: 318-675-4819 | |
Mary Ellen Berg, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 1068 Winterberry Ln, Shreveport, LA 71106 Phone: 318-469-8400 | |
Ann H Guy, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 471 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775 | |
Dr. Frederick Randall Kirchner, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 471 Ashley Ridge Blvd., Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775 | |
Dr. John D Hinrichsen, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Bert Kouns Loop, Suite #103, Shreveport, LA 71105 Phone: 318-222-8402 Fax: 318-222-4556 |