Cornelius Bos, MD | |
2600 Greenwood Rd, Shreveport, LA 71103-3908 | |
(318) 212-4550 | |
Not Available |
Full Name | Cornelius Bos |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 55 Years |
Location | 2600 Greenwood Rd, Shreveport, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821069378 | NPI | - | NPPES |
1975371 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 09662R (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Red River Consultants Inc | 1355303363 | 50 |
Red River Consultants Inc | 1355303363 | 50 |
Entity Name | Red River Consultants Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902877426 PECOS PAC ID: 1355303363 Enrollment ID: O20041102000491 |
Mailing Address | Practice Location Address |
---|---|
Cornelius Bos, MD Po Box 9600, Dept 09-033, Texarkana, TX 75505-9600 Ph: (877) 243-8416 | Cornelius Bos, MD 2600 Greenwood Rd, Shreveport, LA 71103-3908 Ph: (318) 212-4550 |
Dr. Srinivas Potturi, M.D., Radiology Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Dr. Russell Scott Anderson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Linda Angell Nall, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Radiology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666 | |
Joseph W Milner Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1453 E Bert Kouns Industrial Loop, Radiology, Shreveport, LA 71105 Phone: 877-243-8416 | |
Jose Alba, MD Radiology Medicare: Medicare Enrolled Practice Location: 2600 Greenwood Rd, Shreveport, LA 71103 Phone: 318-212-4550 | |
Dr. Lacy Holmes Williams, Radiology Medicare: Not Enrolled in Medicare Practice Location: 416 Travis St, Suite 1200, Shreveport, LA 71101 Phone: 318-222-7464 Fax: 318-222-7466 | |
Dr. Naveen Gunji, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 |