| Russell D Burlison, MD | |
|
1455 E Bert Koun Loop, Shreveport, LA 71105-5634 | |
| (318) 798-4400 | |
| (318) 798-4525 |
| Full Name | Russell D Burlison |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 28 Years |
| Location | 1455 E Bert Koun Loop, 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 |
|---|---|---|---|
| 1073517975 | NPI | - | NPPES |
| 1486540 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 023583 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Highland Clinic, A Prof Med Corp | 3870493463 | 55 |
| Entity Name | Highland Clinic, A Prof Med Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053315846 PECOS PAC ID: 3870493463 Enrollment ID: O20040220000551 |
| Entity Name | Minden Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497986764 PECOS PAC ID: 4789720004 Enrollment ID: O20090930000103 |
| Entity Name | Women First Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205170198 PECOS PAC ID: 0345495941 Enrollment ID: O20130306000029 |
| Entity Name | Obhg Louisiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639567316 PECOS PAC ID: 9234443250 Enrollment ID: O20150805006718 |
| Entity Name | Southern Obgyn Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174015945 PECOS PAC ID: 0446503627 Enrollment ID: O20181106000949 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20200910000388 |
| Entity Name | Stephen Padgett Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336767805 PECOS PAC ID: 8921419953 Enrollment ID: O20201124001458 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell D Burlison, MD 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 Ph: (318) 798-4400 | Russell D Burlison, MD 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 Ph: (318) 798-4400 |
Sabrina Benefield Castle, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2510 W. Bert Kouns Industrial Loop, Shreveport, LA 71118 Phone: 318-212-5000 Fax: 903-553-7751 | |
Rodney Wise, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Dept Of Ob/gyn, Shreveport, LA 71103 Phone: 318-675-8700 Fax: 318-675-8706 | |
James Barrow, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Ob Gyn, Shreveport, LA 71103 Phone: 318-675-5000 | |
Melissa Fett Jordan, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3100 Fairfield Ave, Unit 10a, Shreveport, LA 71104 Phone: 318-201-3939 | |
Dr. Ricky Allen Paul, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr Ste 600, Shreveport, LA 71115 Phone: 318-212-3890 Fax: 318-212-3888 | |
Amanda Hammad Bunton, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2508 Bert Koun Loop, Suite 201, Shreveport, LA 71118 Phone: 318-212-5790 Fax: 318-212-5795 |