| Dr Randall P Brewer, MD | |
|
8731 Park Plaza Dr, Shreveport, LA 71105 | |
| (318) 797-5848 | |
| (318) 797-5844 |
| Full Name | Dr Randall P Brewer |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 33 Years |
| Location | 8731 Park Plaza Dr, Shreveport, Louisiana |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538130018 | NPI | - | NPPES |
| 1177458 | Medicaid | LA | |
| 10915651 | Other | CAQH |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Natchitoches Regional Medical Center | Natchitoches, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physical Therapy Services Of West Louisiana Inc | 0446388763 | 97 |
| Arklatex Medical Consultants A Medical Corporation | 5597001099 | 17 |
| Entity Name | Arklatex Medical Consultants A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710466628 PECOS PAC ID: 5597001099 Enrollment ID: O20190103002111 |
| Entity Name | Park Plaza Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093335705 PECOS PAC ID: 5092114975 Enrollment ID: O20210526000183 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randall P Brewer, MD 8731 Park Plaza Dr, Shreveport, LA 71105-5682 Ph: (318) 797-5848 | Dr Randall P Brewer, MD 8731 Park Plaza Dr, Shreveport, LA 71105 Ph: (318) 797-5848 |
Russell T Stuermann, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Industrial Loop Ste 208, Shreveport, LA 71105 Phone: 318-798-4510 Fax: 318-798-4511 | |
Dr. James Michael Wages Jr., M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 8731 Park Plaza Dr, Shreveport, LA 71105 Phone: 318-797-5848 Fax: 318-797-5844 | |
Jai P Munjampalli, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1811 E Bert Kouns Industrial Loop, Suite 300, Shreveport, LA 71105 Phone: 318-212-3636 Fax: 318-212-3649 |