Lindsey Tassin Brown
Individual provider Active NPI Family Medicine Physician · Benton, LA
NPI 1740642164 · NPPES record last updated Jun 21, 2021
Key facts
- NPI
- 1740642164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 308539 (LA)
- Practice address
- 1001 Lackland Blvd Ste 120
Benton, LA 71006-2505 - Phone
- (318) 935-1522
- Fax
- (318) 935-1525
- NPI assigned
- Mar 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in Shreveport, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- WK Palmetto Family Practice
Practice addresses (Care Compare)
1001 Lackland Blvd
Suite 120
Benton, LA 71006-2505
Phone (318) 935-1522
Hospital & facility affiliations
- Elara Caring
- Vitalcaring Group
- Willis Knighton Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190806001907 | LA | Practitioner - Family Practice | 3779877915 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308539 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WK Urgent Care Center-Pierremont | Family Medicine | Current |
Accepting new patients |
| WK Palmetto Family Practice | Family Medicine | Current |
Accepting new patients |
Locations
1001 Lackland Blvd
Ste 120
Benton, LA 71006
Phone (318) 935-1522
1666 E Bert Kouns Industrial Loop
Ste 105
Shreveport, LA 71105
Phone (318) 212-3520
2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600
1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946
10320 Little Patuxent Pkwy
Ste 23302
Columbia, MD 21044
Interoperability endpoints
- lbrown12@direct.wkhs.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 308539 | LA | Yes |
Addresses
Primary practice location
1001 Lackland Blvd Ste 120
Benton, LA 71006-2505
Mailing address
1202 Louisiana Ave
Shreveport, LA 71101-3910
Phone (318) 212-8951
Other practice location 1
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-8695
Other practice location 2
1666 E Bert Koun Loop Ste 105
Shreveport, LA 71105-5718
Phone (318) 212-3520
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2417304 | Medicaid | LA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.mettles.com/ | Other |
Other providers in Benton, LA
- Benton Physical Therapy, LLC
- Carl Richard Bibbee II
- Courtney Brooks
- Brookshire Grocery Company
- Ricarter Sylvester Broomes
- Calvary Care Service LLC
- Can DO Kids Pediatric Therapy Services
- Anna Caughman
- Vicki S. Cobb
- Community Bridges South, Inc.
All providers in Benton, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.