Pratibha Anne (NPI# 1821228909, PAC ID# 9638368871) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1821228909 |
| PAC ID by PECOS | 9638368871 |
| Professional Enrollment ID | I20110104000878 |
| Full Name | Pratibha Anne |
| Organization Legal Name | DAVID RAINES COMMUNITY HEALTH CENTER, INC. |
| Address |
3021 W 70th St Shreveport LA 71108-4603 |
| Phone Number | 3182273350 |
| Gender | F |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4688586118 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1514 Doctors Dr, Bossier City, LA 71111-3379 | 3185492500 | DAVID RAINES COMMUNITY HEALTH CENTER, INC. |
| 3021 W 70th St, Shreveport, LA 71108-4603 | 3182273350 | DAVID RAINES COMMUNITY HEALTH CENTER, INC. |
| Organization Legal Name | DAVID RAINES COMMUNITY HEALTH CENTER, INC. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Post | General Practice | David Raines Community Health Center, Inc. | 1625 David Raines Rd, Shreveport, LA 71107-5899 |
| George C Henderson | Family Practice | David Raines Community Health Center, Inc. | 1953 E Main St, Hayneville, LA 71038-4907 |
| Kent E Copeland | Family Practice | David Raines Community Health Center, Inc. | 1514 Doctors Dr, Bossier City, LA 71111-3379 |
| Betty J Farmer | Nurse Practitioner | David Raines Community Health Center, Inc. | 1625 David Raines Rd, Shreveport, LA 71107-5899 |
| Blanca I Osorio | Psychiatry | David Raines Community Health Center, Inc. | 1625 David Raines Rd, Shreveport, LA 71107-5899 |
| Street Address |
3021 W 70TH ST |
| City | SHREVEPORT |
| State | LA |
| Zip | 71108-4603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kikelomo I Togun | Pediatric Medicine | 6224 Hearne Ave, Suite A, Shreveport, LA 71108-4362 | |
| Diane L Sino | Chiropractic | 7840 Jewella Ave, Shreveport, LA 71108-5004 |
| City | SHREVEPORT |
| Zip Code | 71108 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SHREVEPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Pratibha Anne.
| 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.