| Jefferey D Adair, MD | |
|
1455 E Bert Kouns Industrial Loop Ste 314, Shreveport, LA 71105-5634 | |
| (318) 798-4448 | |
| (318) 795-4713 |
| Full Name | Jefferey D Adair |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 37 Years |
| Location | 1455 E Bert Kouns Industrial Loop Ste 314, 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 |
|---|---|---|---|
| 1780665828 | NPI | - | NPPES |
| 050089989 | Other | LA | MEDICARE RAILROAD |
| 190072202 | Medicaid | TX | |
| 1915815 | Medicaid | LA | |
| 181033001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD020437 (Louisiana) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 020437 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ark-la-tex Spine, Apmc | 8921249392 | 3 |
| Entity Name | Ark-la-tex Spine, Apmc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851737506 PECOS PAC ID: 8921249392 Enrollment ID: O20130726000591 |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferey D Adair, MD Po Box 837, Howe, TX 75459-0837 Ph: (903) 487-2248 | Jefferey D Adair, MD 1455 E Bert Kouns Industrial Loop Ste 314, Shreveport, LA 71105-5634 Ph: (318) 798-4448 |
Dr. James Michael Wages Jr., M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 8731 Park Plaza Dr, Shreveport, LA 71105 Phone: 318-797-5848 Fax: 318-797-5844 | |
Jai P Munjampalli, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1811 E Bert Kouns Industrial Loop, Suite 300, Shreveport, LA 71105 Phone: 318-212-3636 Fax: 318-212-3649 |