| Dr Richard M Harrell, MD | |
|
2508 Bert Kouns Industrial Loop Ste 200, Shreveport, LA 71118-3166 | |
| (318) 212-5044 | |
| (318) 212-5049 |
| Full Name | Dr Richard M Harrell |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 38 Years |
| Location | 2508 Bert Kouns Industrial Loop Ste 200, 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 |
|---|---|---|---|
| 1346244209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 019429 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ochsner Lsu Health Shreveport-st Mary Medical Cent | Shreveport, LA | Hospital |
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lsu Health Sciences Center Shreveport Faculty Group Practice | 4082902721 | 512 |
| Wk Orthopedic Clinic | 9436174489 | 20 |
| Entity Name | Wk Orthopedic Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780612119 PECOS PAC ID: 9436174489 Enrollment ID: O20051010000591 |
| Entity Name | Wk Bossier Orthopedic & Sports |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588715791 PECOS PAC ID: 6406951078 Enrollment ID: O20070411000016 |
| Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard M Harrell, MD 2508 Bert Kouns Industrial Loop Ste 200, Shreveport, LA 71118-3166 Ph: (318) 212-5044 | Dr Richard M Harrell, MD 2508 Bert Kouns Industrial Loop Ste 200, Shreveport, LA 71118-3166 Ph: (318) 212-5044 |
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 |