| Advanced Woundcare Specialists LLC | |
|
223 Fairburn Ave Suite A Benton LA 71006 | |
| (318) 229-5055 | |
| Not Available |
| Full Name | Advanced Woundcare Specialists LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 223 Fairburn Ave, Benton, Louisiana |
| Authorized Official Name and Position | Michael J Hebert (PRACTICE MANAGER) |
| Authorized Official Contact | 3182295055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Woundcare Specialists LLC 104 Hidden Path Dr Pineville LA 71360-2202 Ph: (318) 229-5055 | Advanced Woundcare Specialists LLC 223 Fairburn Ave Suite A Benton LA 71006 Ph: (318) 229-5055 |
| NPI Number | 1548002942 |
|---|---|
| Provider Enumeration Date | 06/07/2024 |
| Last Update Date | 01/09/2026 |
| Certification Date | 01/09/2026 |
| Medicare PECOS PAC ID | 5698212736 |
|---|---|
| Medicare Enrollment ID | O20240806004467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548002942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Michael J Hebert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932313038 PECOS PAC ID: 1951492982 Enrollment ID: I20070806000652 |
| Provider Name | Louis C Benjamin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801945936 PECOS PAC ID: 0941282396 Enrollment ID: I20071120000141 |
| Provider Name | Devesh Agarwal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710116876 PECOS PAC ID: 1052577590 Enrollment ID: I20180703001319 |
Janet L Morehouse MD and Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 188 Burt Blvd, Suite A, Benton, LA 71006 Phone: 318-965-1795 Fax: 318-965-5505 |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7076 La-3, Benton, LA 71006 Phone: 318-965-3410 |
North Bossier Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4707 Palmetto Rd, Benton, LA 71006 Phone: 318-965-9644 Fax: 318-965-9640 |
Wound Care Contractors, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2201 W Hartline, Benton, LA 71006 Phone: 318-588-4726 Fax: 318-900-7828 |
WK Palmetto Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 Lackland Blvd Ste 120, Benton, LA 71006 Phone: 318-935-1522 Fax: 318-935-1525 |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Burt Blvd, Benton, LA 71006 Phone: 833-784-2669 Fax: 844-784-2329 |