| Dr Travis Headley, MD | |
|
2034 Garrett Farms Row, Shreveport, LA 71106-2572 | |
| (304) 919-0530 | |
| Not Available |
| Full Name | Dr Travis Headley |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 16 Years |
| Location | 2034 Garrett Farms Row, 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 |
|---|---|---|---|
| 1982847414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD.204300 (Louisiana) | Primary |
| 207P00000X | Emergency Medicine | ME 112510 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cross Lake Emergency Group, Llc | 5395096440 | 47 |
| Entity Name | Cross Lake Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013497114 PECOS PAC ID: 5395096440 Enrollment ID: O20180928000987 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Travis Headley, MD 2034 Garrett Farms Row, Shreveport, LA 71106-2572 Ph: (304) 919-0530 | Dr Travis Headley, MD 2034 Garrett Farms Row, Shreveport, LA 71106-2572 Ph: (304) 919-0530 |
David James Caltrider, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130 Phone: 318-626-2326 | |
Dr. Craig Florea, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenwood Rd, Shreveport, LA 71103 Phone: 318-212-4500 | |
Dr. Lacey Whited, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Emergency Medicine, Shreveport, LA 71103 Phone: 318-675-6885 Fax: 318-675-6878 | |
Ryan M. Burkholder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Internal Medicine, Shreveport, LA 71103 Phone: 318-626-0434 | |
Roy Brandhurst, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr, Shreveport, LA 71115 Phone: 318-212-3500 Fax: 318-212-3505 | |
Joseph William Yarbrough Jr., DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130 Phone: 318-626-1034 | |
Brett Horn, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Emergency Medicine, Shreveport, LA 71103 Phone: 318-675-7261 Fax: 318-675-6878 |