| Wk Pinnacle Gastroenterology | |
|
2551 Greenwood Rd Suite 350 Shreveport LA 71103-3981 | |
| (318) 212-8710 | |
| (318) 212-8699 |
| Full Name | Wk Pinnacle Gastroenterology |
|---|---|
| Speciality | Internal Medicine |
| Location | 2551 Greenwood Rd, Shreveport, Louisiana |
| Authorized Official Name and Position | Greg J. Gavin (NETWORK ADMINISTRATOR) |
| Authorized Official Contact | 3182124571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Pinnacle Gastroenterology 2551 Greenwood Rd Suite 350 Shreveport LA 71103-3981 Ph: (318) 212-8710 | Wk Pinnacle Gastroenterology 2551 Greenwood Rd Suite 350 Shreveport LA 71103-3981 Ph: (318) 212-8710 |
| NPI Number | 1669455226 |
|---|---|
| Provider Enumeration Date | 11/28/2005 |
| Last Update Date | 06/08/2012 |
| Medicare PECOS PAC ID | 6608898259 |
|---|---|
| Medicare Enrollment ID | O20051222000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669455226 | NPI | - | NPPES |
| 1448834 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Thomas Ryan Palmer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578619912 PECOS PAC ID: 5799885695 Enrollment ID: I20070706000294 |
| Provider Name | Patricia Lynne Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851898621 PECOS PAC ID: 6305100918 Enrollment ID: I20180508000828 |
| Provider Name | Sherif Michael |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699185884 PECOS PAC ID: 9830318252 Enrollment ID: I20220315000541 |
Hs Louisiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Suite 5-303, Shreveport, LA 71103 Phone: 904-834-2679 Fax: 904-395-3249 | |
Wk Digestive Disease Consultants Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2508 Bert Koun Loop, Sutie 304, Shreveport, LA 71118 Phone: 318-671-8880 Fax: 318-671-8879 | |
J J Burgin Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1032 Lochinvar Ln, Shreveport, LA 71106 Phone: 562-569-1601 | |
Andrew Dentino Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103 Phone: 318-212-8780 Fax: 318-212-8181 | |
Paul S Wilson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1666 E Bert Kouns Industrial Loop, Suite 230, Shreveport, LA 71105 Phone: 318-212-3970 Fax: 318-212-3975 | |
Maurie Patterson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8001 Youree Dr, Suite 400, Shreveport, LA 71115 Phone: 318-212-3456 Fax: 318-212-3885 | |
Raymond A. Coghlan Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 150, Shreveport, LA 71103 Phone: 318-631-9996 Fax: 318-631-9345 |