Stavan Yogendra Patel, DDS, MD - Medicare Maxillofacial Surgery in Shreveport, LA

Stavan Yogendra Patel, DDS, MD is a medicare enrolled "Oral & Maxillofacial Surgery" physician in Shreveport, Louisiana. He went to Columbia University College Of Dental Medicine and graduated in 2010 and has 16 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Wk Oral And Maxillofacial Surgery Institute, Clhg-ruston Llc, Christus Trinity Clinic Texas and his current practice location is 2508 Bert Kouns Industrial Loop Ste 410, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 212-5944.

Stavan Yogendra Patel is licensed to practice in Louisiana (license number MD.302913) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558688309.

Contact Information

Stavan Yogendra Patel, DDS, MD
2508 Bert Kouns Industrial Loop Ste 410,
Shreveport, LA 71118-3157
(318) 212-5944
(318) 212-5949

Map and Direction




Physician's Profile

Full NameStavan Yogendra Patel
GenderMale
SpecialityMaxillofacial Surgery
Experience16 Years
Location2508 Bert Kouns Industrial Loop Ste 410, Shreveport, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stavan Yogendra Patel attended and graduated from Columbia University College Of Dental Medicine in 2010
  NPI Data:
  • NPI Number: 1558688309
  • Provider Enumeration Date: 05/03/2010
  • Last Update Date: 11/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6507161817
  • Enrollment ID: I20160721001012

Medical Identifiers

Medical identifiers for Stavan Yogendra Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558688309NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
204E00000XOral & Maxillofacial Surgery U0177 (Texas)Secondary
204E00000XOral & Maxillofacial Surgery MD.302913 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christus Good Shepherd Medical CenterLongview, TXHospital
Willis Knighton Medical Center, IncShreveport, LAHospital
Christus St Michael Health SystemTexarkana, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wk Oral And Maxillofacial Surgery Institute60022037674
Clhg-ruston Llc731536142524
Christus Trinity Clinic Texas30724267411540

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stavan Yogendra Patel allows following entities to bill medicare on his behalf.
Entity NameGreen Clinic LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831178755
PECOS PAC ID: 4789668831
Enrollment ID: O20040616000177
Entity NameMinden Physician Practices LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497986764
PECOS PAC ID: 4789720004
Enrollment ID: O20090930000103
Entity NameShriners Hospitals for Children
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679617849
PECOS PAC ID: 9133031933
Enrollment ID: O20121203000457
Entity NameLSU Health Sciences Center Shreveport Faculty Group Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013374222
PECOS PAC ID: 4082902721
Enrollment ID: O20161012000307
Entity NameWK Oral and Maxillofacial Surgery Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104584515
PECOS PAC ID: 6002203767
Enrollment ID: O20220427001091
Entity NameClhg-ruston LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154012185
PECOS PAC ID: 7315361425
Enrollment ID: O20220718002173

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stavan Yogendra Patel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stavan Yogendra Patel, DDS, MD
2508 Bert Kouns Industrial Loop Ste 410,
Shreveport, LA 71118-3157

Ph: (318) 212-5944
Stavan Yogendra Patel, DDS, MD
2508 Bert Kouns Industrial Loop Ste 410,
Shreveport, LA 71118-3157

Ph: (318) 212-5944

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.