Centerwell Senior Primary Care (la) Pc - Medicare Primary Care in Bossier City, LA

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Centerwell Senior Primary Care (la) Pc is a medicare enrolled primary clinic (Internal Medicine) in Bossier City, Louisiana. The current practice location for Centerwell Senior Primary Care (la) Pc is 2900 E Texas St Ste 100, Bossier City, Louisiana. For appointments, you can reach them via phone at (318) 606-6737. The mailing address for Centerwell Senior Primary Care (la) Pc is 4700 Millenia Blvd Ste 650, Orlando, Florida and phone number is (407) 447-7120.

Centerwell Senior Primary Care (la) Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1760005136. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (318) 606-6737.

Contact Information

Centerwell Senior Primary Care (la) Pc
2900 E Texas St Ste 100
Bossier City
LA 71111-3275
(318) 606-6737
(833) 749-0343

Map and Direction


Primary Care Clinic Profile

Full NameCenterwell Senior Primary Care (la) Pc
SpecialityInternal Medicine
Location2900 E Texas St Ste 100, Bossier City, Louisiana
Authorized Official Name and PositionAngie Martinez (SENIOR CREDENTIALING PROFESSIONAL)
Authorized Official Contact4074477120
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Centerwell Senior Primary Care (la) Pc
4700 Millenia Blvd Ste 650
Orlando
FL 32839-6013

Ph: (407) 447-7120		Centerwell Senior Primary Care (la) Pc
2900 E Texas St Ste 100
Bossier City
LA 71111-3275

Ph: (318) 606-6737

NPI Details:

NPI Number1760005136
Provider Enumeration Date05/20/2020
Last Update Date11/07/2022

Medicare PECOS Information:

Medicare PECOS PAC ID1951712280
Medicare Enrollment IDO20210217000212

Medical Identifiers

Medical identifiers for Centerwell Senior Primary Care (la) Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760005136NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Centerwell Senior Primary Care (la) Pc acts as a billing entity for following providers:
Provider NameDanielle Lavonne Mclurkin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942269758
PECOS PAC ID: 6002701968
Enrollment ID: I20040218001175
Provider NameMichael P Guarisco
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699830539
PECOS PAC ID: 7113815390
Enrollment ID: I20040309000623
Provider NameEarl Kyle Magee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508887977
PECOS PAC ID: 9537152475
Enrollment ID: I20040406000935
Provider NameAntoinette T Harvey-fields
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235113762
PECOS PAC ID: 4486630407
Enrollment ID: I20040629000554
Provider NameChristopher J Rankin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558368829
PECOS PAC ID: 7113995309
Enrollment ID: I20040924000598
Provider NameReginald Jude Ross
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720178569
PECOS PAC ID: 9032177381
Enrollment ID: I20050103000709
Provider NameMonique B Brimmer-williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780605709
PECOS PAC ID: 8820048960
Enrollment ID: I20050126001172
Provider NameKay L Nelson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780636613
PECOS PAC ID: 0840219242
Enrollment ID: I20051115000638
Provider NameJonathan J Roberts
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881751667
PECOS PAC ID: 5496763690
Enrollment ID: I20060330000001
Provider NameTheresa Lynette Woodard
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124045638
PECOS PAC ID: 6002814241
Enrollment ID: I20061122000040
Provider NameNoemie M Safford
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639377468
PECOS PAC ID: 8628164530
Enrollment ID: I20071023000294
Provider NameMichel A Dioubate
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427260827
PECOS PAC ID: 3577645373
Enrollment ID: I20080318000057
Provider NameChristopher J Foti
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841401957
PECOS PAC ID: 9537239322
Enrollment ID: I20080605000474
Provider NameAzikiwe K Lombard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346430956
PECOS PAC ID: 2567537459
Enrollment ID: I20080812000201
Provider NameBrian C Jobe
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1922018472
PECOS PAC ID: 0648325373
Enrollment ID: I20090902000339
Provider NameChristine Castille
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326058173
PECOS PAC ID: 3072659473
Enrollment ID: I20091014000656
Provider NameGordon H Clark
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265546014
PECOS PAC ID: 2365442373
Enrollment ID: I20091216000511
Provider NameCarter J Boyd
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982713483
PECOS PAC ID: 3971669870
Enrollment ID: I20100104000620
Provider NameDaneeka A Woods
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295050953
PECOS PAC ID: 4385773753
Enrollment ID: I20100524000054
Provider NameDeborah T Gray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710287511
PECOS PAC ID: 4880876614
Enrollment ID: I20110315000551
Provider NameKerry E. Shaver
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285805952
PECOS PAC ID: 1850564758
Enrollment ID: I20111108000848
Provider NameKristi G Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740544352
PECOS PAC ID: 7618122847
Enrollment ID: I20130219000362
Provider NameAndre D Tilton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306165097
PECOS PAC ID: 7810130390
Enrollment ID: I20130903000029
Provider NameRosalind R Mobley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730512096
PECOS PAC ID: 8224265053
Enrollment ID: I20131226000112
Provider NameAmy Alisha Stinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194133421
PECOS PAC ID: 9739404336
Enrollment ID: I20150202000931
Provider NameShawndolyn K Lebine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295083137
PECOS PAC ID: 2769708288
Enrollment ID: I20150227001189
Provider NameShawn Dearie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326405721
PECOS PAC ID: 2264731603
Enrollment ID: I20160505002088
Provider NameTeresa Garrison
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760748313
PECOS PAC ID: 2163716010
Enrollment ID: I20160816000642
Provider NameLarry G Thirstrup
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770834012
PECOS PAC ID: 7517850407
Enrollment ID: I20161017000800
Provider NameAnavernyel Neyland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346799459
PECOS PAC ID: 8426331828
Enrollment ID: I20170209000804
Provider NameLien Nguyen Fradella
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952840407
PECOS PAC ID: 5991081622
Enrollment ID: I20170413000043
Provider NameRaquel Georgina Castellanos Gonzalez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487909891
PECOS PAC ID: 2668743188
Enrollment ID: I20170802000675
Provider NameLindsey S Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326562133
PECOS PAC ID: 6507139813
Enrollment ID: I20170908001051
Provider NameSharolyn Vincent Arrington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801376678
PECOS PAC ID: 0143564054
Enrollment ID: I20181204002185
Provider NameCarly Suzanne Ernst
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649554064
PECOS PAC ID: 0749421337
Enrollment ID: I20190103003061
Provider NameShelita King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750854311
PECOS PAC ID: 2466791561
Enrollment ID: I20190307002370
Provider NameDarin Lastrapes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285034884
PECOS PAC ID: 1153661616
Enrollment ID: I20190319002854
Provider NameShantel Batiste
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700347531
PECOS PAC ID: 3870835770
Enrollment ID: I20190424002642
Provider NameShameka T Turner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1548702988
PECOS PAC ID: 6507117652
Enrollment ID: I20191213001945
Provider NameJignesh Patel
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1417182346
PECOS PAC ID: 5890011779
Enrollment ID: I20210225000778
Provider NameCrystal S Owen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538618293
PECOS PAC ID: 3173806494
Enrollment ID: I20210302000571
Provider NameKristalyn E Pepper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861067944
PECOS PAC ID: 3577963925
Enrollment ID: I20210707000817
Provider NameRavi Gupta
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437600624
PECOS PAC ID: 1254763881
Enrollment ID: I20210715004364
Provider NameRebekah H. Hendry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407520620
PECOS PAC ID: 4688070444
Enrollment ID: I20210902002920
Provider NameAmberneisha Shontreal Flournoy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790450021
PECOS PAC ID: 1153711197
Enrollment ID: I20211206000883
Provider NameMichaela Cheyenne Wells
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386269629
PECOS PAC ID: 3476930793
Enrollment ID: I20220506000410
Provider NameJustin Zaghi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427476654
PECOS PAC ID: 7911275136
Enrollment ID: I20220531002790
Provider NameKaren Barbara Wallen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912259763
PECOS PAC ID: 3476703711
Enrollment ID: I20220622001330
Provider NameTolulope B Famuyiro
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407343551
PECOS PAC ID: 7012398324
Enrollment ID: I20220718003523
Provider NameDonshekia C. Mercadel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801382106
PECOS PAC ID: 2163807470
Enrollment ID: I20220921003686
Provider NameColleen Ann Phillips
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114532314
PECOS PAC ID: 1951777184
Enrollment ID: I20221013000849
Provider NameChakakhan Jarreau-griffin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1649570912
PECOS PAC ID: 4385816941
Enrollment ID: I20221017002245
Provider NameLeticia Alves Antunes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740835644
PECOS PAC ID: 8628308970
Enrollment ID: I20221110001285
Provider NameAparna Kanuparthy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477119873
PECOS PAC ID: 1951773068
Enrollment ID: I20230217000481
Provider NameNichole Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548900814
PECOS PAC ID: 3274908652
Enrollment ID: I20230418000210
Provider NameJewell Lites
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841994225
PECOS PAC ID: 3173980083
Enrollment ID: I20230608001832
Provider NamePamela Bellow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740256189
PECOS PAC ID: 2668433517
Enrollment ID: I20230707000003
Provider NameJane Tsung-wen Wong Futterer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932893419
PECOS PAC ID: 5395106967
Enrollment ID: I20230728001875
Provider NameVincent Godinich
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588292049
PECOS PAC ID: 6204266711
Enrollment ID: I20230811001066
Provider NameJasmine Lajuan Mosely
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609299197
PECOS PAC ID: 4880039452
Enrollment ID: I20240305003378
Provider NameChaitanya Undavalli
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902427651
PECOS PAC ID: 9638538606
Enrollment ID: I20250404002095

Reviews and Comments


Internal Medicine in Bossier City, LA

Rapid Care Of Bossier Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5015 Shed Rd, Suite 400, Bossier City, LA 71111
Phone: 318-584-7301    Fax: 318-741-4496
Charles A Powers Md And Willis-knighton Medical Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2400 Hospital Dr, Suite 420, Bossier City, LA 71111
Phone: 318-212-7910    Fax: 318-212-7915
Willow Chute Medical, Llc
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Medicare: Medicare Enrolled
Practice Location: 4910 Airline Dr, Bossier City, LA 71111
Phone: 318-349-3921    
Abaka Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 4438 Viking Dr, Bossier City, LA 71111
Phone: 318-918-0015    Fax: 318-963-0015
Allen Cox Md And Willis-knighton Medical Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2300 Hospital Dr, Suite 200, Bossier City, LA 71111
Phone: 318-212-7830    Fax: 318-212-7835
Wk Endocrine Specialists
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2449 Hospital Dr, Suite 400, Bossier City, LA 71111
Phone: 318-212-7902    Fax: 318-212-7905
Sanjay Kumar Shah Md & Willis-knighton Medical Center Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2300 Hospital Dr, Suite 200, Bossier City, LA 71111
Phone: 318-212-7830    Fax: 318-212-7835

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.