| Partners in Primary Care- Bossier City | |
|
2900 E Texas St Ste 100 Bossier City LA 71111-3275 | |
| (318) 606-6737 | |
| (833) 749-0343 |
| Full Name | Partners in Primary Care- Bossier City |
|---|---|
| Speciality | Internal Medicine |
| Location | 2900 E Texas St Ste 100, Bossier City, Louisiana |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Partners in Primary Care- Bossier City 4700 Millenia Blvd Ste 650 Orlando FL 32839-6013 Ph: (407) 447-7120 | Partners in Primary Care- Bossier City 2900 E Texas St Ste 100 Bossier City LA 71111-3275 Ph: (318) 606-6737 |
| NPI Number | 1760005136 |
|---|---|
| Provider Enumeration Date | 05/20/2020 |
| Last Update Date | 11/07/2022 |
| Certification Date | 11/07/2022 |
| Medicare PECOS PAC ID | 1951712280 |
|---|---|
| Medicare Enrollment ID | O20210217000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760005136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| 208D00000X | General Practice | () | Secondary |
| Provider Name | Danielle Lavonne Mclurkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942269758 PECOS PAC ID: 6002701968 Enrollment ID: I20040218001175 |
| Provider Name | Michael P Guarisco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699830539 PECOS PAC ID: 7113815390 Enrollment ID: I20040309000623 |
| Provider Name | Earl Kyle Magee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508887977 PECOS PAC ID: 9537152475 Enrollment ID: I20040406000935 |
| Provider Name | Christopher J Rankin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558368829 PECOS PAC ID: 7113995309 Enrollment ID: I20040924000598 |
| Provider Name | Reginald Jude Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720178569 PECOS PAC ID: 9032177381 Enrollment ID: I20050103000709 |
| Provider Name | Monique B Brimmer-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780605709 PECOS PAC ID: 8820048960 Enrollment ID: I20050126001172 |
| Provider Name | Jonathan J Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881751667 PECOS PAC ID: 5496763690 Enrollment ID: I20060330000001 |
| Provider Name | Allison Dee Parkman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700968054 PECOS PAC ID: 1951303684 Enrollment ID: I20071011000473 |
| Provider Name | Noemie M Safford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639377468 PECOS PAC ID: 8628164530 Enrollment ID: I20071023000294 |
| Provider Name | Michel a Dioubate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427260827 PECOS PAC ID: 3577645373 Enrollment ID: I20080318000057 |
| Provider Name | Christopher J Foti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841401957 PECOS PAC ID: 9537239322 Enrollment ID: I20080605000474 |
| Provider Name | Christine Castille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326058173 PECOS PAC ID: 3072659473 Enrollment ID: I20091014000656 |
| Provider Name | Daneeka Armont Chastang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295050953 PECOS PAC ID: 4385773753 Enrollment ID: I20100524000054 |
| Provider Name | Deborah T Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710287511 PECOS PAC ID: 4880876614 Enrollment ID: I20110315000551 |
| Provider Name | Kerry E. Shaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285805952 PECOS PAC ID: 1850564758 Enrollment ID: I20111108000848 |
| Provider Name | Kristi G Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740544352 PECOS PAC ID: 7618122847 Enrollment ID: I20130219000362 |
| Provider Name | Andre D Tilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306165097 PECOS PAC ID: 7810130390 Enrollment ID: I20130903000029 |
| Provider Name | Rosalind R Mobley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730512096 PECOS PAC ID: 8224265053 Enrollment ID: I20131226000112 |
| Provider Name | Amy Alisha Stinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194133421 PECOS PAC ID: 9739404336 Enrollment ID: I20150202000931 |
| Provider Name | Megan Francesca Butler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023371564 PECOS PAC ID: 2163728114 Enrollment ID: I20160317000332 |
| Provider Name | Shawn Dearie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326405721 PECOS PAC ID: 2264731603 Enrollment ID: I20160505002088 |
| Provider Name | Taran C Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497184865 PECOS PAC ID: 6002108800 Enrollment ID: I20160715000463 |
| Provider Name | Teresa Garrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760748313 PECOS PAC ID: 2163716010 Enrollment ID: I20160816000642 |
| Provider Name | Larry G Thirstrup |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770834012 PECOS PAC ID: 7517850407 Enrollment ID: I20161017000800 |
| Provider Name | Adravon S Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326408576 PECOS PAC ID: 4587943014 Enrollment ID: I20161128000760 |
| Provider Name | Lien Nguyen Fradella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952840407 PECOS PAC ID: 5991081622 Enrollment ID: I20170413000043 |
| Provider Name | Raquel Georgina Castellanos Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487909891 PECOS PAC ID: 2668743188 Enrollment ID: I20170802000675 |
| Provider Name | Robert Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225404007 PECOS PAC ID: 7214244458 Enrollment ID: I20171013001001 |
| Provider Name | Nerissa Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689105009 PECOS PAC ID: 0143576314 Enrollment ID: I20180629001442 |
| Provider Name | James Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073022042 PECOS PAC ID: 7416215835 Enrollment ID: I20181203000305 |
| Provider Name | Carly Suzanne Ernst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649554064 PECOS PAC ID: 0749421337 Enrollment ID: I20190103003061 |
| Provider Name | Shelita King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750854311 PECOS PAC ID: 2466791561 Enrollment ID: I20190307002370 |
| Provider Name | Darin Lastrapes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285034884 PECOS PAC ID: 1153661616 Enrollment ID: I20190319002854 |
| Provider Name | Shantel Batiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700347531 PECOS PAC ID: 3870835770 Enrollment ID: I20190424002642 |
| Provider Name | Tiarra Daneese Clayton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801336771 PECOS PAC ID: 1052663481 Enrollment ID: I20201007001998 |
| Provider Name | Jignesh Suresh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417182346 PECOS PAC ID: 5890011779 Enrollment ID: I20210225000778 |
| Provider Name | Ravi Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437600624 PECOS PAC ID: 1254763881 Enrollment ID: I20210715004364 |
| Provider Name | Amberneisha Shontreal Flournoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790450021 PECOS PAC ID: 1153711197 Enrollment ID: I20211206000883 |
| Provider Name | Michaela Cheyenne Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386269629 PECOS PAC ID: 3476930793 Enrollment ID: I20220506000410 |
| Provider Name | Tolulope B Famuyiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407343551 PECOS PAC ID: 7012398324 Enrollment ID: I20220718003523 |
| Provider Name | Chakakhan Jarreau-griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649570912 PECOS PAC ID: 4385816941 Enrollment ID: I20221017002245 |
| Provider Name | Nichole Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548900814 PECOS PAC ID: 3274908652 Enrollment ID: I20230418000210 |
| Provider Name | Jewell Lites |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841994225 PECOS PAC ID: 3173980083 Enrollment ID: I20230608001832 |
| Provider Name | Pamela Bellow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740256189 PECOS PAC ID: 2668433517 Enrollment ID: I20230707000003 |
| Provider Name | Jane Tsung-wen Wong Futterer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932893419 PECOS PAC ID: 5395106967 Enrollment ID: I20230728001875 |
| Provider Name | Vincent Godinich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588292049 PECOS PAC ID: 6204266711 Enrollment ID: I20230811001066 |
| Provider Name | Jasmine Lajuan Mosely |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609299197 PECOS PAC ID: 4880039452 Enrollment ID: I20240305003378 |
| Provider Name | Saddad Toor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649253998 PECOS PAC ID: 9931247855 Enrollment ID: I20240401002630 |
| Provider Name | Brittany Tralicia Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083306278 PECOS PAC ID: 7416306071 Enrollment ID: I20241204003523 |
| Provider Name | Chaitanya Undavalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902427651 PECOS PAC ID: 9638538606 Enrollment ID: I20250404002095 |
| Provider Name | Ruth Ceballos Calderon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851944839 PECOS PAC ID: 7911386990 Enrollment ID: I20250715000019 |
| Provider Name | Melina Sapida |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780881904 PECOS PAC ID: 6709939705 Enrollment ID: I20260109002169 |
| Provider Name | Pei-chun Mcgregor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023231073 PECOS PAC ID: 5890919906 Enrollment ID: I20260413001177 |
| Provider Name | Syed Mehdi Jafri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649558230 PECOS PAC ID: 9436382108 Enrollment ID: I20260416004121 |
| Provider Name | Marcus Cox |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922298868 PECOS PAC ID: 4486626249 Enrollment ID: I20260428001181 |
| Provider Name | George Adesina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457642647 PECOS PAC ID: 4981912086 Enrollment ID: I20260429001505 |
| Provider Name | Roger Kerzner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255385589 PECOS PAC ID: 3072517804 Enrollment ID: I20260504008166 |
| Provider Name | Anjori Dunbar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720387269 PECOS PAC ID: 4587962329 Enrollment ID: I20260519001161 |
| Provider Name | Helene Glassberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245228139 PECOS PAC ID: 2668378449 Enrollment ID: I20260617000356 |
| Provider Name | Ambreen Mohamed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437443637 PECOS PAC ID: 4183944788 Enrollment ID: I20260627000456 |
Bossier Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2539 Viking Dr Ste 101, Bossier City, LA 71111 Phone: 318-747-8100 Fax: 318-747-8151 |
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 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4910 Airline Dr, Bossier City, LA 71111 Phone: 318-349-3921 |
Abaka LLC Primary Care Clinic 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 |