| Dr Michael A Banda, MD | |
|
2400 Hospital Dr, Ste. 250, Bossier City, LA 71111-2385 | |
| (318) 746-4460 | |
| (318) 746-3389 |
| Full Name | Dr Michael A Banda |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 34 Years |
| Location | 2400 Hospital Dr, 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 |
|---|---|---|---|
| 1528064078 | NPI | - | NPPES |
| 1493651 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD.09177R (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| North Caddo Medical Center | Vivian, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Caddo Hospital Service District | 4385544584 | 12 |
| Wk Bossier Surgical Associates | 6002152519 | 2 |
| Entity Name | North Caddo Hospital Service District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326016684 PECOS PAC ID: 4385544584 Enrollment ID: O20040113000307 |
| Entity Name | North Caddo Hospital Service District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1326016684 PECOS PAC ID: 4385544584 Enrollment ID: O20090508000441 |
| Entity Name | Wk Bossier Surgical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598234338 PECOS PAC ID: 6002152519 Enrollment ID: O20190103002373 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael A Banda, MD 1202 Louisiana Ave, Shreveport, LA 71101-3910 Ph: (318) 212-8951 | Dr Michael A Banda, MD 2400 Hospital Dr, Ste. 250, Bossier City, LA 71111-2385 Ph: (318) 746-4460 |
James Gaiennie Howell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Dr, Suite 250, Bossier City, LA 71111 Phone: 318-746-4460 Fax: 318-746-3389 | |
Dr. Sarah Grace Baker, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr Ste 400, Bossier City, LA 71111 Phone: 318-212-7800 Fax: 318-212-7805 |