Wendy M Moses
WK PIERREMONT FAMILY PHYSICIANS


Address: 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764
Phone: 3182123810

Wendy M Moses (NPI# 1487681730, PAC ID# 4183689219) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1487681730
PAC ID by PECOS 4183689219
Professional Enrollment ID I20041130000748
Full Name Wendy M Moses
Organization Legal Name WK PIERREMONT FAMILY PHYSICIANS
Address 1811 E Bert Kouns Industrial Loop
Suite 400
Shreveport
LA 71105-5764
Phone Number 3182123810
Gender F
Credential MD
Medical School LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year 1994
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 0143320465
Number of Group Practice Members 6
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190111 WILLIS KNIGHTON MEDICAL CENTER
190041 CHRISTUS HEALTH SHREVEPORT - BOSSIER

Other Locations

Address Phone Organization
1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764 3182123810 WK PIERREMONT FAMILY PHYSICIANS

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_047_overall Care Plan 100%

Organization Information

Organization Legal Name WK PIERREMONT FAMILY PHYSICIANS
Physicians 7

Physicians with the same organization

Name Specialty Organization Address
Susan M Self Family Medicine Wk Pierremont Family Physicians 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764
Kristen R Bass Physician Assistant Wk Pierremont Family Physicians 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764
April C Palmer Family Medicine Wk Pierremont Family Physicians 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764
Russell S Carr Family Medicine Wk Pierremont Family Physicians 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764
Larry Flake Family Medicine Wk Pierremont Family Physicians 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764
Mary A Crow Family Practice Wk Pierremont Family Physicians 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764

Office Location

Street Address 1811 E BERT KOUNS INDUSTRIAL LOOP
SUITE 400
City SHREVEPORT
State LA
Zip 71105-5764

Physicians in the same location

Name Specialty Organization Address
Susan M Self Family Medicine Wk Pierremont Family Physicians 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764
Kristen R Bass Physician Assistant Wk Pierremont Family Physicians 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764
April C Palmer Family Medicine Wk Pierremont Family Physicians 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764
Stephen Germain Cassiere Internal Medicine Wk Pierremont Associates In Internal Medicine 1811 E Bert Kouns Industrial Loop, Suite 130, Shreveport, LA 71105-5741
Russell S Carr Family Medicine Wk Pierremont Family Physicians 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764
Ishita Prakash Patel Endocrinology Wk Pierremont Endocrine Center 1811 E Bert Kouns Industrial Loop, Suite 480, Shreveport, LA 71105-5765
Larry Flake Family Medicine Wk Pierremont Family Physicians 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764
Josephine M Futrell Dermatology Wk Dermatology Clinic 1811 E Bert Kouns Industrial Loop, Suite 110, Shreveport, LA 71105-5741
Lyubov Olenina Endocrinology Wk Pierremont Endocrine Center 1811 E Bert Kouns Industrial Loop, Suite 480, Shreveport, LA 71105-5765
Alan J Borne Internal Medicine 1811 E Bert Kouns Industrial Loop, Suite 440, Shreveport, LA 71105-5740
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Physicians in the same zip code

Name Specialty Organization Address
Mairus T Mcfarland General Practice 3331 Youree Dr, Shreveport, LA 71105-2115
Suresh Kumar Neurology 3555 Youree Dr, Shreveport, LA 71105-2119
James S Harrold Jr. Psychiatry 2924 Knight St, Suite 434, Shreveport, LA 71105-2413
Kimberly D. Law Psychiatry 2924 Knight St, Suite 414, Shreveport, LA 71105-2415
Orlise M Aubrey Clinical Social Worker 2924 Knight St, Suite 414, Shreveport, LA 71105-2415
Tom Staats Clinical Psychologist Comprehensive Assessments, Inc 3010 Knight St, Shreveport, LA 71105-2541
Suzannah K York-crump Physical Therapy Studio P3 LLC 266 Ockley Dr, Shreveport, LA 71105-3025
Elizabeth M Hansen Physical Therapy Studio P3 LLC 266 Ockley Dr, Shreveport, LA 71105-3025
Carson S Holtzclaw Physician Assistant Urgent Care of Louisiana LLC 6841 Fern Ave, Suite 100, Shreveport, LA 71105-4175
Ayesha Tabassom Emergency Medicine Urgent Care of Louisiana LLC 6841 Fern Ave, Suite 100, Shreveport, LA 71105-4175
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Competitor

Search similar physicians

City SHREVEPORT
Zip Code 71105
Specialty FAMILY MEDICINE
City + Specialty SHREVEPORT + FAMILY MEDICINE

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Dataset Information

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.

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