| Dr Robert W Mcmillan, MD | |
|
2751 Albert Bicknell Dr, Ste. 4a, Shreveport, LA 71103 | |
| (318) 212-4275 | |
| (318) 212-8511 |
| Full Name | Dr Robert W Mcmillan |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 43 Years |
| Location | 2751 Albert Bicknell Dr, 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 |
|---|---|---|---|
| 1972526598 | NPI | - | NPPES |
| 5K315F600 | Other | LA | MEDICARE - PTAN |
| 1390801 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 06902R (Louisiana) | Secondary |
| 204F00000X | Transplant Surgery | 06902R (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Byrd Regional Hospital | Leesville, LA | Hospital |
| Beauregard Memorial Hospital | Deridder, LA | Hospital |
| Northern Louisiana Medical Center | Ruston, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wk Transplant Physicians | 2365689627 | 5 |
| Wk Advanced Surgery Center | 9436302890 | 6 |
| Entity Name | Wk Transplant Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528307238 PECOS PAC ID: 2365689627 Enrollment ID: O20130507000040 |
| Entity Name | Wk Advanced Surgery Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609110634 PECOS PAC ID: 9436302890 Enrollment ID: O20130529000941 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert W Mcmillan, MD 2751 Albert Bicknell Dr, Ste 4a, Shreveport, LA 71103 Ph: (318) 212-4275 | Dr Robert W Mcmillan, MD 2751 Albert Bicknell Dr, Ste. 4a, Shreveport, LA 71103 Ph: (318) 212-4275 |