| Claude Youngblood Bundrick Jr, MD | |
|
471 Ashley Ridge Blvd, Shreveport, LA 71106-7229 | |
| (318) 795-4770 | |
| (318) 795-4775 |
| Full Name | Claude Youngblood Bundrick Jr |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 16 Years |
| Location | 471 Ashley Ridge Blvd, 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 |
|---|---|---|---|
| 1043538796 | NPI | - | NPPES |
| 2102915 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 205789 (Louisiana) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Highland Clinic, A Prof Med Corp | 3870493463 | 55 |
| Entity Name | Highland Clinic, A Prof Med Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053315846 PECOS PAC ID: 3870493463 Enrollment ID: O20040220000551 |
| Mailing Address | Practice Location Address |
|---|---|
| Claude Youngblood Bundrick Jr, MD 471 Ashley Ridge Blvd, Shreveport, LA 71106-7229 Ph: (318) 795-4770 | Claude Youngblood Bundrick Jr, MD 471 Ashley Ridge Blvd, Shreveport, LA 71106-7229 Ph: (318) 795-4770 |
Rogelio Orillac, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Ophthalmology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666 | |
Thomas Boone Redens, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Ophthalmology, Shreveport, LA 71103 Phone: 318-675-6901 Fax: 318-675-4819 | |
Mary Ellen Berg, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 1068 Winterberry Ln, Shreveport, LA 71106 Phone: 318-469-8400 | |
Ann H Guy, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 471 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775 | |
Dr. Frederick Randall Kirchner, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 471 Ashley Ridge Blvd., Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775 | |
Dr. John D Hinrichsen, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Bert Kouns Loop, Suite #103, Shreveport, LA 71105 Phone: 318-222-8402 Fax: 318-222-4556 |