| James Lon Reeder, | |
|
20201 Century Blvd, Ste 480 Surgical Anesthesia Of Bossier Llc, Germantown, MD 20874-1113 | |
| (301) 528-0222 | |
| Not Available |
| Full Name | James Lon Reeder |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 20201 Century Blvd, Germantown, Maryland |
| 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 |
|---|---|---|---|
| 1528049244 | NPI | - | NPPES |
| P00216453 | Other | LA | RR MEDICARE |
| 1163333 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN086365 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Willis Knighton Medical Center Inc Crna Group | 1759358674 | 90 |
| Entity Name | Willis Knighton Medical Center Inc Crna Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174546097 PECOS PAC ID: 1759358674 Enrollment ID: O20040910001124 |
| Entity Name | Novus Louisiana Medical Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336926872 PECOS PAC ID: 5395194880 Enrollment ID: O20231208002673 |
| Mailing Address | Practice Location Address |
|---|---|
| James Lon Reeder, Po Box 1510, Surgical Anesthesia Of Bossier Llc, Germantown, MD 20875-1510 Ph: (301) 515-4222 | James Lon Reeder, 20201 Century Blvd, Ste 480 Surgical Anesthesia Of Bossier Llc, Germantown, MD 20874-1113 Ph: (301) 528-0222 |
Mrs. Martha Louise Richter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 20201 Century Blvd, Ste 480, Germantown, MD 20874 Phone: 301-515-4222 Fax: 301-515-4153 | |
Susan M Allig, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 20680 Seneca Meadows Pkwy Ste 200, Germantown, MD 20876 Phone: 301-701-6900 Fax: 703-742-9081 | |
Delores Ann Weisz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 20201 Century Blvd, Ste 480 Westchester Anesthesia Llc, Germantown, MD 20874 Phone: 301-515-4222 Fax: 301-515-4153 | |
Carol Louise Rayos, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 20201 Century Blvd, Suite 480, Germantown, MD 20874 Phone: 301-515-4222 Fax: 301-515-4153 | |
Alfred Nicholson Blount Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 20201 Century Blvd, Suite 480, Germantown, MD 20874 Phone: 301-515-4222 Fax: 301-515-4153 | |
Sheila Janice Peddrew, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 20201 Century Blvd, Chevy Chase Anesthesia Llc Suite 480, Germantown, MD 20874 Phone: 301-515-4222 Fax: 301-515-4153 |