| WK Primary Care Ruston | |
|
1809 Northpointe Ln Ste 102 Ruston LA 71270-3852 | |
| (318) 399-7130 | |
| (318) 399-7139 |
| Full Name | WK Primary Care Ruston |
|---|---|
| Speciality | Family Medicine |
| Location | 1809 Northpointe Ln Ste 102, Ruston, Louisiana |
| Authorized Official Name and Position | Mary Jane Ward (SENIOR VP, FINANCE) |
| Authorized Official Contact | 3187164939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| WK Primary Care Ruston Po Box 829 Ruston LA 71273-0829 Ph: (318) 399-7130 | WK Primary Care Ruston 1809 Northpointe Ln Ste 102 Ruston LA 71270-3852 Ph: (318) 399-7130 |
| NPI Number | 1245177245 |
|---|---|
| Provider Enumeration Date | 04/29/2026 |
| Last Update Date | 05/07/2026 |
| Certification Date | 05/07/2026 |
| Medicare PECOS PAC ID | 6608349014 |
|---|---|
| Medicare Enrollment ID | O20260626002308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245177245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Michael S Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154391431 PECOS PAC ID: 2062449911 Enrollment ID: I20050721000738 |
| Provider Name | William Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093921066 PECOS PAC ID: 1052465705 Enrollment ID: I20090815000042 |
| Provider Name | Johnathan C Baines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679769889 PECOS PAC ID: 5193856755 Enrollment ID: I20100625000112 |
| Provider Name | Kenneth P Metoyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265692156 PECOS PAC ID: 1759518343 Enrollment ID: I20131205000196 |
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