| 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 | 30 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 | 50 |
| Wk Pierremont Ob-gyn Specialists | 9739188285 | 6 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | East Texas Border Health Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558329797 PECOS PAC ID: 8820038565 Enrollment ID: O20050511001030 |
| Entity Name | Longview Wellness Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942269493 PECOS PAC ID: 1254367766 Enrollment ID: O20050714001046 |
| Entity Name | Obhg Texas Holdings Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083917769 PECOS PAC ID: 3577713072 Enrollment ID: O20121018000279 |
| 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 |
Katie Shearer, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Mary Pl, Shreveport, LA 71101 Phone: 318-626-4300 | |
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 |