| Dr George Wayne Byram Iii, MD | |
|
1455 E Bert Kouns Industrial Loop # 210, Shreveport, LA 71105 | |
| (187) 984-6233 | |
| Not Available |
| Full Name | Dr George Wayne Byram Iii |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 13 Years |
| Location | 1455 E Bert Kouns Industrial Loop # 210, 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 |
|---|---|---|---|
| 1992064026 | NPI | - | NPPES |
| 2474294 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | MD.308290 (Louisiana) | Primary |
| 207X00000X | Orthopaedic Surgery | 24984 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Primestar Home Health Of Nwla, Inc | Ringgold, LA | Home health agency |
| Elara Caring | Bossier city, LA | Home health agency |
| Elara Caring | Mansfield, LA | Home health agency |
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Minden Medical Center | Minden, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cornerstone Therapy And Balance Center Llc | 0345397899 | 75 |
| 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 |
|---|---|
| Dr George Wayne Byram Iii, MD 1455 E Bert Kouns Industrial Loop # 210, Shreveport, LA 71105-6000 Ph: (318) 423-4482 | Dr George Wayne Byram Iii, MD 1455 E Bert Kouns Industrial Loop # 210, Shreveport, LA 71105 Ph: (187) 984-6233 |
Dr. Robert Walter Rutz, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 337-529-6409 | |
Marjorie R Chelly, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Dr. Carlton Gregory Houtz, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Suite # 210, Shreveport, LA 71105 Phone: 318-798-4623 Fax: 318-798-4646 | |
Dr. Mario H Lobao Goncalves, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Christopher Wilson, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-4313 | |
Benjamin Marcus Feibel, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105 Phone: 318-798-4623 | |
John Marshall Haynie, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Line Ave, Suite 100, Shreveport, LA 71101 Phone: 318-635-3052 Fax: 318-635-3072 |