| Wk Endocrine Specialists | |
|
2449 Hospital Dr Suite 400 Bossier City LA 71111-2399 | |
| (318) 212-7902 | |
| (318) 212-7905 |
| Full Name | Wk Endocrine Specialists |
|---|---|
| Speciality | Internal Medicine |
| Location | 2449 Hospital Dr, Bossier City, Louisiana |
| Authorized Official Name and Position | Greg J. Gavin (NETWORK ADMINISTRATOR) |
| Authorized Official Contact | 3182124232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Endocrine Specialists 2449 Hospital Dr Suite 400 Bossier City LA 71111-2399 Ph: (318) 212-7902 | Wk Endocrine Specialists 2449 Hospital Dr Suite 400 Bossier City LA 71111-2399 Ph: (318) 212-7902 |
| NPI Number | 1073831004 |
|---|---|
| Provider Enumeration Date | 05/14/2010 |
| Last Update Date | 06/08/2012 |
| Medicare PECOS PAC ID | 6406980689 |
|---|---|
| Medicare Enrollment ID | O20100811000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073831004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Laura Kimball Ravari |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861437543 PECOS PAC ID: 6800825100 Enrollment ID: I20050808000240 |
| Provider Name | Vickey M Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295770246 PECOS PAC ID: 0244237824 Enrollment ID: I20061024000117 |
| Provider Name | Sammi R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013982693 PECOS PAC ID: 4183626583 Enrollment ID: I20070214000300 |
| Provider Name | Mary M Albritton |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275744112 PECOS PAC ID: 7719002765 Enrollment ID: I20100914000485 |
| Provider Name | Joshua D Maier |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952512394 PECOS PAC ID: 3173716438 Enrollment ID: I20101019000543 |
| Provider Name | Dakota J Boston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962899971 PECOS PAC ID: 0345549531 Enrollment ID: I20180925002728 |
| Provider Name | Collette G Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003427899 PECOS PAC ID: 5991113680 Enrollment ID: I20210419000838 |
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 | |
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 | |
Injurymd Of Bossier, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5015 Shed Rd Ste 500, Bossier City, LA 71111 Phone: 318-741-5858 Fax: 318-741-4496 |