| Dr Tyler Randall Davis, MD | |
|
4864 Jackson St, Monroe, LA 71202-6400 | |
| (318) 330-7000 | |
| Not Available |
| Full Name | Dr Tyler Randall Davis |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 7 Years |
| Location | 4864 Jackson St, Monroe, 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 |
|---|---|---|---|
| 1972064160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 329162 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Citizens Medical Center | Columbia, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Service District No. 1 Of Caldwell Parish | 4587552450 | 25 |
| Cross Lake Emergency Group, Llc | 5395096440 | 47 |
| Highland Emergency Group, Llc | 6800295890 | 44 |
| Entity Name | Hospital Service District No. 1 Of Caldwell Parish |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306865761 PECOS PAC ID: 4587552450 Enrollment ID: O20040310001056 |
| 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 |
| 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 |
| Entity Name | Highland Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154913861 PECOS PAC ID: 6800295890 Enrollment ID: O20210524002901 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tyler Randall Davis, MD 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: (318) 626-0287 | Dr Tyler Randall Davis, MD 4864 Jackson St, Monroe, LA 71202-6400 Ph: (318) 330-7000 |
Jeffery Fuller, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4864 Jackson St, Department Of Emergency Medical Services, Monroe, LA 71202 Phone: 318-675-7737 Fax: 318-675-5666 | |
Dr. Roberto Eduardo Medina, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 806-831-8734 Fax: 940-205-5028 | |
Aaron Scott Klepper, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7626 Fax: 318-330-7648 | |
Dr. Robert Mark Kerry, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3421 Medical Park Dr, St Francis North Hospital, Monroe, LA 71211 Phone: 318-388-7874 Fax: 318-361-4629 | |
Teri O'neal, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Department Of Emergency Medical Services, Monroe, LA 71202 Phone: 318-330-7626 Fax: 318-330-7648 | |
Daniel W Twitchell, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2408 Broadmoor Blvd, Suite B, Monroe, LA 71201 Phone: 318-807-0525 Fax: 318-807-1077 | |
Michael C Rommen, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-966-4000 |