| Dr Matthew Sand Mosura, MD | |
|
2005 Landry Drive, Bossier City, LA 71111 | |
| (318) 752-7850 | |
| (318) 752-7855 |
| Full Name | Dr Matthew Sand Mosura |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 23 Years |
| Location | 2005 Landry Drive, Bossier City, 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 |
|---|---|---|---|
| 1861613291 | NPI | - | NPPES |
| P01249632 | Other | LA | RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 15597R (Louisiana) | Secondary |
| 207L00000X | Anesthesiology | 15597R (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Specialists Hospital Shreveport | Shreveport, LA | Hospital |
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Musculoskeletal Institute Of Louisiana Llc | 0143127415 | 26 |
| Entity Name | Musculoskeletal Institute Of Louisiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316957012 PECOS PAC ID: 0143127415 Enrollment ID: O20031215000899 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Sand Mosura, MD 1534 Elizabeth Ave Ste 301, Shreveport, LA 71101-4531 Ph: (318) 629-5001 | Dr Matthew Sand Mosura, MD 2005 Landry Drive, Bossier City, LA 71111 Ph: (318) 752-7850 |
Alfonso Aquino, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 Old Minden Rd Ste 20, Bossier City, LA 71111 Phone: 870-897-5333 | |
Dr. John G Noles, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr Ste 300, Bossier City, LA 71111 Phone: 318-212-3636 Fax: 318-212-3649 | |
Macey Sutherland, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 2400 Hospital Dr, Bossier City, LA 71111 Phone: 318-212-7000 | |
David Elkind Hirsch, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr, Suite 300, Bossier City, LA 71111 Phone: 318-212-7960 Fax: 318-212-7965 | |
Erika Lacroix, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Dr, Bossier City, LA 71111 Phone: 318-212-7000 |