| James H Extine, DO | |
|
2516 Broadmoor Blvd, Monroe, LA 71201-2988 | |
| (318) 807-4746 | |
| (318) 812-6034 |
| Full Name | James H Extine |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 2516 Broadmoor Blvd, Monroe, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609803477 | NPI | - | NPPES |
| 2462750 | Medicaid | LA | |
| 200037893 | Other | TN | RAILROAD MEDICARE |
| TN0139 | Other | TN | AMERICHOICE TENNCARE |
| 1170140002 | Other | TN | PALMETTO GBA |
| 373856800 | Other | TN | OWCP |
| 3139316 | Other | TN | BLUE CROSS BLUE SHIELD TN |
| 3304909 | Medicaid | TN | |
| 1120944 | Other | TN | CIGNA |
| Entity Name | Memorial Satilla Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295266955 PECOS PAC ID: 5991074957 Enrollment ID: O20170706002072 |
| Mailing Address | Practice Location Address |
|---|---|
| James H Extine, DO 130 Desiard St Ste 355, Monroe, LA 71201-7363 Ph: (318) 807-7875 | James H Extine, DO 2516 Broadmoor Blvd, Monroe, LA 71201-2988 Ph: (318) 807-4746 |
Dr. White Solomon Graves Iv, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Louisville Ave, Monroe, LA 71201 Phone: 318-323-8451 Fax: 318-361-2613 | |
Kevin Jeffrey Bunn, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 Oliver Rd, Monroe, LA 71201 Phone: 318-807-4713 Fax: 318-807-1833 | |
Dr. Sidney L Bailey, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1501 Louisville Ave, Monroe, LA 71201 Phone: 318-323-8451 Fax: 318-361-2613 | |
Dr. Grant Arthur Dona, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Louisville Ave, Monroe, LA 71201 Phone: 318-323-8451 Fax: 318-361-2613 | |
Timothy Davenport Spires Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Louisville Ave, Monroe, LA 71201 Phone: 318-323-8451 Fax: 318-361-2613 | |
Dr. Scott K Mcclelland, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1501 Louisville Ave, Monroe, LA 71201 Phone: 318-323-8451 Fax: 318-361-2613 | |
Dr. Myron B Bailey Jr., M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1501 Louisville Ave, Monroe, LA 71201 Phone: 318-323-8451 Fax: 318-361-2613 |