Wk Tri-state Medical Clinic - Medicare Primary Care in Shreveport, LA

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Wk Tri-state Medical Clinic is a medicare enrolled primary clinic (Internal Medicine) in Shreveport, Louisiana. The current practice location for Wk Tri-state Medical Clinic is 2551 Greenwood Rd, Suite 410, Shreveport, Louisiana. For appointments, you can reach them via phone at (318) 621-2929. The mailing address for Wk Tri-state Medical Clinic is 2551 Greenwood Rd, Suite 410, Shreveport, Louisiana and phone number is (318) 621-2929.

Wk Tri-state Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1225082746. 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) 621-2929.

Contact Information

Wk Tri-state Medical Clinic
2551 Greenwood Rd
Suite 410
Shreveport
LA 71103-3981
(318) 621-2929
(318) 621-2930

Map and Direction


Primary Care Clinic Profile

Full NameWk Tri-state Medical Clinic
SpecialityInternal Medicine
Location2551 Greenwood Rd, Shreveport, Louisiana
Authorized Official Name and PositionGreg J. Gavin (NETWORK ADMINISTRATOR)
Authorized Official Contact3182124571
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wk Tri-state Medical Clinic
2551 Greenwood Rd
Suite 410
Shreveport
LA 71103-3981

Ph: (318) 621-2929		Wk Tri-state Medical Clinic
2551 Greenwood Rd
Suite 410
Shreveport
LA 71103-3981

Ph: (318) 621-2929

NPI Details:

NPI Number1225082746
Provider Enumeration Date05/20/2006
Last Update Date10/05/2012

Medicare PECOS Information:

Medicare PECOS PAC ID0143225128
Medicare Enrollment IDO20060926000196

Medical Identifiers

Medical identifiers for Wk Tri-state Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225082746NPI-NPPES
1448419MedicaidLA

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 Tri-state Medical Clinic acts as a billing entity for following providers:
Provider NameAnthony Stuart
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508839788
PECOS PAC ID: 0648258632
Enrollment ID: I20050802000836
Provider NameKarla O Querbes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194756437
PECOS PAC ID: 1658386560
Enrollment ID: I20060214000591
Provider NamePierre Blanchard
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104889237
PECOS PAC ID: 0143232165
Enrollment ID: I20061017000351
Provider NameTimothy A Nicholls
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457314015
PECOS PAC ID: 4486650371
Enrollment ID: I20061017000397
Provider NameJames M Jackson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285697466
PECOS PAC ID: 6800892795
Enrollment ID: I20061017000421
Provider NameBilly L Bickham
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366404998
PECOS PAC ID: 1052317724
Enrollment ID: I20061020000165
Provider NameHuan Q Le
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184687212
PECOS PAC ID: 3072519743
Enrollment ID: I20061020000223
Provider NameJoseph C Jones
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295937936
PECOS PAC ID: 0143391680
Enrollment ID: I20080611000458
Provider NameSuzanne M Frye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922449917
PECOS PAC ID: 1052554987
Enrollment ID: I20130826000364
Provider NameAmbrosia Holsapple
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124467733
PECOS PAC ID: 2668616202
Enrollment ID: I20130920000216
Provider NameDavid Mitchell Hudson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063831352
PECOS PAC ID: 3870891146
Enrollment ID: I20170907002880
Provider NameEmily Leanne Tull
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386137586
PECOS PAC ID: 4486904083
Enrollment ID: I20180831001116
Provider NameJennifer Grisham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790397586
PECOS PAC ID: 7315353091
Enrollment ID: I20210303002450
Provider NameClaire A Caraway
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306409073
PECOS PAC ID: 9830420249
Enrollment ID: I20220815003409

Reviews and Comments


Internal Medicine in Shreveport, LA

Hs Louisiana, Llc
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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
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Medicare: Medicare Enrolled
Practice Location: 2508 Bert Koun Loop, Sutie 304, Shreveport, LA 71118
Phone: 318-671-8880    Fax: 318-671-8879
Andrew Dentino Md And Willis-knighton Medical Center
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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
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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
Shreveport Family Medicine Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7505 Pines Road, Suite 1250, Shreveport, LA 71129
Phone: 318-686-3770    Fax: 318-686-3838

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.