| Daniel Longino, | |
|
2400 Hospital Dr Ste 130, Bossier City, LA 71111-2386 | |
| (318) 212-7990 | |
| (318) 212-7995 |
| Full Name | Daniel Longino |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 2400 Hospital Dr Ste 130, Bossier City, 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 |
|---|---|---|---|
| 1144779091 | NPI | - | NPPES |
| 2432117 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | AP08930 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wk Bossier Hospitalists | 4486729639 | 18 |
| Entity Name | Wk Bossier Hospitalists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487815866 PECOS PAC ID: 4486729639 Enrollment ID: O20080822000128 |
| Entity Name | Minden Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497986764 PECOS PAC ID: 4789720004 Enrollment ID: O20090930000103 |
| Entity Name | Brfhh Shreveport Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912909912 PECOS PAC ID: 0345475836 Enrollment ID: O20150519000353 |
| Entity Name | University Health Shreveport, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619443611 PECOS PAC ID: 7416207196 Enrollment ID: O20181109000875 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Longino, 1202 Louisiana Ave, Shreveport, LA 71101-3910 Ph: (318) 212-8951 | Daniel Longino, 2400 Hospital Dr Ste 130, Bossier City, LA 71111-2386 Ph: (318) 212-7990 |
Mrs. Collette G Brown, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr Ste 400, Bossier City, LA 71111 Phone: 318-212-7902 Fax: 318-212-7905 | |
Mrs. Crystal Boyer, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Wills Way, Bossier City, LA 71112 Phone: 318-617-3734 | |
Cherryl Talamayan Stiles, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2400 Hospital Dr Ste 130, Bossier City, LA 71111 Phone: 318-212-7990 Fax: 318-212-7995 | |
Celina Marsha Brown, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1524 Doctors Dr, Bossier City, LA 71111 Phone: 318-742-1623 | |
Twyla Hurst, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 Jimmie Davis Hwy Ste 200, Bossier City, LA 71112 Phone: 318-681-1660 Fax: 318-681-1671 | |
Cortney L Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr, Suite 330, Bossier City, LA 71111 Phone: 318-212-7848 Fax: 318-212-7855 | |
Ava C Mcelwee, APRNC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2300 Hospital Dr, Suite 140, Bossier City, LA 71111 Phone: 318-746-4842 Fax: 318-746-2326 |