| Jamie L Rister, MD | |
|
3444 Masonic Dr, Alexandria, LA 71301-3615 | |
| (318) 473-9556 | |
| (318) 441-8339 |
| Full Name | Jamie L Rister |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 15 Years |
| Location | 3444 Masonic Dr, Alexandria, Louisiana |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770801763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | MD2015-0173 (New Mexico) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 301922 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Louisiana Surgical Hospital | Alexandria, LA | Hospital |
| Rapides Regional Medical Center | Alexandria, LA | Hospital |
| Christus St Frances Cabrini Hospital | Alexandria, LA | Hospital |
| Lasalle General Hospital | Jena, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physical Therapy Services Of West Louisiana Inc | 0446388763 | 69 |
| Physical Therapy Services Of West Louisiana Inc | 0446388763 | 69 |
| Mid State Orthopaedic And Sports Medicine Center Llc | 6204892540 | 26 |
| Entity Name | Mid State Orthopaedic & Sports Medicine Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104890052 PECOS PAC ID: 6204892540 Enrollment ID: O20041208000292 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie L Rister, MD 3444 Masonic Dr, Alexandria, LA 71301-3615 Ph: (318) 473-9556 | Jamie L Rister, MD 3444 Masonic Dr, Alexandria, LA 71301-3615 Ph: (318) 473-9556 |
Dr. Douglas L Gamburg, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 224 Pecan Park Ave, Alexandria, LA 71303 Phone: 318-443-9191 Fax: 318-443-9190 | |
Daniel R Oas, D.O. Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: Mid State Orthoapedic And Sports Medicine Center, Llc, 3444 Masonic Drive, Alexandria, LA 71301 Phone: 318-473-9556 Fax: 318-441-8339 | |
Mr. Jeffrey L Garrison, M.D. Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 3444 Masonic Drive, Alexandria, LA 71301 Phone: 318-473-9556 Fax: 318-441-8339 | |
Rashad Jamar Sullivan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3444 Masonic Drive, Alexandria, LA 71301 Phone: 318-473-9556 Fax: 318-441-8339 | |
Louis Donovan Perdue, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3351 Masonic Drive, Alexandria, LA 71301 Phone: 318-473-9556 Fax: 318-441-8339 | |
Mr. Timmothy R Randell, M.D. Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 3444 Masonic Drive, Alexandria, LA 71301 Phone: 318-473-9556 Fax: 318-441-8339 | |
Miles Stanley Parsons, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3444 Masonic Drive, Alexandria, LA 71301 Phone: 318-473-9556 Fax: 318-441-8351 |