Wk Shreveport Internal Medicine - Medicare Primary Care in Shreveport, LA

Wk Shreveport Internal Medicine is a medicare enrolled primary clinic (Internal Medicine) in Shreveport, Louisiana. The current practice location for Wk Shreveport Internal Medicine is 1449 E Bert Kouns Industrial Loop Ste 100, Shreveport, Louisiana. For appointments, you can reach them via phone at (318) 629-0220. The mailing address for Wk Shreveport Internal Medicine is 1202 Louisiana Ave, Shreveport, Louisiana and phone number is (318) 716-4939.

Wk Shreveport Internal Medicine is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255018388. 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) 629-0220.

Contact Information

Wk Shreveport Internal Medicine
1449 E Bert Kouns Industrial Loop Ste 100
Shreveport
LA 71105-5680
(318) 629-0220
(318) 629-0230

Map and Direction


Primary Care Clinic Profile

Full NameWk Shreveport Internal Medicine
SpecialityInternal Medicine
Location1449 E Bert Kouns Industrial Loop Ste 100, Shreveport, Louisiana
Authorized Official Name and PositionMary Jane Ward (SENIOR VP FINANCE)
Authorized Official Contact3187164939
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wk Shreveport Internal Medicine
1202 Louisiana Ave
Shreveport
LA 71101-3910

Ph: (318) 716-4939
Wk Shreveport Internal Medicine
1449 E Bert Kouns Industrial Loop Ste 100
Shreveport
LA 71105-5680

Ph: (318) 629-0220

NPI Details:

NPI Number1255018388
Provider Enumeration Date06/30/2023
Last Update Date06/30/2023

Medicare PECOS Information:

Medicare PECOS PAC ID8527429448
Medicare Enrollment IDO20230725002250

Medical Identifiers

Medical identifiers for Wk Shreveport Internal Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255018388NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
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. Wk Shreveport Internal Medicine acts as a billing entity for following providers:
Provider NameCraig L Miller
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174590848
PECOS PAC ID: 6800806258
Enrollment ID: I20060428000354
Provider NameMark A Brown
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750344073
PECOS PAC ID: 5799795142
Enrollment ID: I20060428000368
Provider NameEric W Smith
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417910720
PECOS PAC ID: 3971532078
Enrollment ID: I20060428000395
Provider NameRichard E Haynie
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275596587
PECOS PAC ID: 8224048699
Enrollment ID: I20060428000569
Provider NameAshley D Garrett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306287784
PECOS PAC ID: 0345484705
Enrollment ID: I20130925000310
Provider NameSummer Cone Hanson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487311023
PECOS PAC ID: 9234506254
Enrollment ID: I20221104000276

Reviews and Comments


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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.