Vicki S Cobb (NPI# 1366470205, PAC ID# 0547287393) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1366470205 |
| PAC ID by PECOS | 0547287393 |
| Professional Enrollment ID | I20051031000793 |
| Full Name | Vicki S Cobb |
| Address |
4707 Palmetto Rd Benton LA 71006-9712 |
| Gender | F |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4707 Palmetto Rd, Benton, LA 71006-9712 |
| Street Address |
4707 PALMETTO RD |
| City | BENTON |
| State | LA |
| Zip | 71006-9712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shanna D. Johnson | Physical Therapy | 115 Hunt Rd, Benton, LA 71006-3469 | |
| Attila Balogh | Internal Medicine | 1310 Bay Ridge Dr, Benton, LA 71006-3482 | |
| Jere Thompson | Nurse Practitioner | Benton Medical | 188 Burt Blvd, Benton, LA 71006-4900 |
| Nicole Mccommon | Emergency Medicine | Benton Medical | 188 Burt Blvd, Benton, LA 71006-4900 |
| Richard D Mcphearson | Physical Therapy | Benton Physical Therapy, LLC | 185 Burt Blvd, Suite B, Benton, LA 71006-4904 |
| Timothy N Lazarus | Physical Therapy | Benton Physical Therapy, LLC | 185 Burt Blvd, Suite B, Benton, LA 71006-4904 |
| City | BENTON |
| Zip Code | 71006 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BENTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Vicki S Cobb.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.