| Dr Charles R Byrd, MD | |
|
2751 Albert L Bicknell Dr, Ste. 3-d, Shreveport, LA 71103-3920 | |
| (318) 221-4755 | |
| (318) 424-3642 |
| Full Name | Dr Charles R Byrd |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 2751 Albert L Bicknell Dr, Shreveport, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912966771 | NPI | - | NPPES |
| 1113361 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | CDS.005128-MD (Louisiana) | Primary |
| Entity Name | Wk South Surgical Hospitalists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760779508 PECOS PAC ID: 1355519745 Enrollment ID: O20110801000237 |
| Entity Name | Wk North Laparoscopic Surgical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114367976 PECOS PAC ID: 8921242520 Enrollment ID: O20130923000127 |
| Entity Name | Wk Academic Medicine Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992375844 PECOS PAC ID: 4688078371 Enrollment ID: O20210803000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles R Byrd, MD 2751 Albert L Bicknell Dr, Suite 3-d, Shreveport, LA 71103-3920 Ph: (318) 221-4755 | Dr Charles R Byrd, MD 2751 Albert L Bicknell Dr, Ste. 3-d, Shreveport, LA 71103-3920 Ph: (318) 221-4755 |
James R Barnes, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Koun Loop, Suite #105, Shreveport, LA 71105 Phone: 318-798-4433 Fax: 318-798-4432 | |
Mary T Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-6154 | |
Dr. Paul E Perkowski, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833 | |
Dr. James Booth Burke, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1202 Louisiana Avenue, Shreveport, LA 71101 Phone: 318-212-8780 Fax: 318-212-6752 | |
Jennifer Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Surgery, Shreveport, LA 71103 Phone: 318-675-2655 | |
Dr. Terry Lairmore, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Dr. Mark H Smith, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2751 Albert L Bicknell Dr, Suite 3d, Shreveport, LA 71103 Phone: 318-212-4799 Fax: 318-424-3642 |