| Robert L Edwards, MD | |
|
553 Hunters Run, Bossier City, LA 71111-8171 | |
| (318) 539-1028 | |
| (318) 539-1072 |
| Full Name | Robert L Edwards |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 42 Years |
| Location | 553 Hunters Run, Bossier City, 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 |
|---|---|---|---|
| 1023082542 | NPI | - | NPPES |
| 15680 | Other | LA CDS | |
| 128050001 | Medicaid | AR | |
| 1348627 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 17820 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Claiborne Memorial Medical Center | Homer, LA | Hospital |
| Ozarks Medical Center | West plains, MO | Hospital |
| Banner Baywood Medical Center | Mesa, AZ | Hospital |
| Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
| Mercy Hospital Ada | Ada, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Specialists In Medical Imaging Sc | 2163733544 | 205 |
| Sonoran Radiology Ltd | 3375964505 | 386 |
| Virtual Radiologic Professionals Llc | 4981608817 | 394 |
| Entity Name | Virtual Radiologic Professionals Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932342029 PECOS PAC ID: 4981608817 Enrollment ID: O20090820000043 |
| Entity Name | North Oaks Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164785648 PECOS PAC ID: 2466629522 Enrollment ID: O20120806000399 |
| Entity Name | Sonoran Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20211230000257 |
| Entity Name | Emergence Teleradiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053547927 PECOS PAC ID: 3476717612 Enrollment ID: O20220106000258 |
| Entity Name | Wellington Imaging Associates, P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689665499 PECOS PAC ID: 3779484613 Enrollment ID: O20220421001350 |
| Entity Name | Specialists In Medical Imaging Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841687951 PECOS PAC ID: 2163733544 Enrollment ID: O20221107002275 |
| Entity Name | Washington Radiologists Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851355622 PECOS PAC ID: 6305927245 Enrollment ID: O20230124000292 |
| Entity Name | Tulsa X-ray Laboratory Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144211582 PECOS PAC ID: 4183537426 Enrollment ID: O20230414000579 |
| Entity Name | Baxter County Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033147921 PECOS PAC ID: 3274420971 Enrollment ID: O20230504003085 |
| Entity Name | Coastal Imaging Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952833717 PECOS PAC ID: 2163799685 Enrollment ID: O20230726002317 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L Edwards, MD 553 Hunters Run, Bossier City, LA 71111-8171 Ph: (318) 728-9988 | Robert L Edwards, MD 553 Hunters Run, Bossier City, LA 71111-8171 Ph: (318) 539-1028 |
Stephanie Renee Conner, Radiology Medicare: Not Enrolled in Medicare Practice Location: 4806 Birdwell Ln, Bossier City, LA 71111 Phone: 318-518-7795 | |
Dr. Kurt Thomas Grozinger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2105 Airline Dr, Bossier City, LA 71111 Phone: 318-741-6078 |