| Dr Ricky Allen Paul, MD | |
|
8001 Youree Dr Ste 600, Shreveport, LA 71115-2345 | |
| (318) 212-3890 | |
| (318) 212-3888 |
| Full Name | Dr Ricky Allen Paul |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 29 Years |
| Location | 8001 Youree Dr Ste 600, 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 |
|---|---|---|---|
| 1073699500 | NPI | - | NPPES |
| P00019679 | Other | RAILROAD MEDICARE | |
| 158685101 | Medicaid | TX | |
| 8F5691 | Other | TX | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | L6568 (Texas) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD.023185 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Texas Border Health Clinic | 8820038565 | 48 |
| Wk Pierremont Ob-gyn Specialists | 9739188285 | 7 |
| East Texas Border Health Clinic | 8820038565 | 48 |
| Entity Name | Wk Pierremont Ob-gyn Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063453850 PECOS PAC ID: 9739188285 Enrollment ID: O20061211000108 |
| Entity Name | Obhg Louisiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639567316 PECOS PAC ID: 9234443250 Enrollment ID: O20150805006718 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ricky Allen Paul, MD 8001 Youree Dr Ste 600, Shreveport, LA 71115-2345 Ph: (318) 212-3890 | Dr Ricky Allen Paul, MD 8001 Youree Dr Ste 600, Shreveport, LA 71115-2345 Ph: (318) 212-3890 |
Sabrina Benefield Castle, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2510 W. Bert Kouns Industrial Loop, Shreveport, LA 71118 Phone: 318-212-5000 Fax: 903-553-7751 | |
Rodney Wise, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Dept Of Ob/gyn, Shreveport, LA 71103 Phone: 318-675-8700 Fax: 318-675-8706 | |
James Barrow, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Ob Gyn, Shreveport, LA 71103 Phone: 318-675-5000 | |
Melissa Fett Jordan, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3100 Fairfield Ave, Unit 10a, Shreveport, LA 71104 Phone: 318-201-3939 | |
Russell D Burlison, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Koun Loop, Shreveport, LA 71105 Phone: 318-798-4400 Fax: 318-798-4525 | |
Amanda Hammad Bunton, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2508 Bert Koun Loop, Suite 201, Shreveport, LA 71118 Phone: 318-212-5790 Fax: 318-212-5795 |