| Kevin L Williams, CRNA | |
|
1455 E Bert Kouns Loop, Suite #100, Shreveport, LA 71105-5634 | |
| (318) 798-4596 | |
| (318) 798-4520 |
| Full Name | Kevin L Williams |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 1455 E Bert Kouns 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 |
|---|---|---|---|
| 1225309545 | NPI | - | NPPES |
| 298034401 | Medicaid | TX | |
| 8398UC | Other | TX | BCBS |
| 750818167015 | Other | TX | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN134889 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Ochsner Lsu Health Shreveport | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indep Anesthesia Services Of La Llc | 1355791062 | 6 |
| Willis Knighton Medical Center Inc Crna Group | 1759358674 | 90 |
| University Health Shreveport, Llc | 7416207196 | 55 |
| Entity Name | Natchitoches Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992827182 PECOS PAC ID: 4981591088 Enrollment ID: O20040303000373 |
| 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 | Christus Health Northern Louisiana |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801822762 PECOS PAC ID: 8628980554 Enrollment ID: O20060111000997 |
| Entity Name | Brfhh Shreveport Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912909912 PECOS PAC ID: 0345475836 Enrollment ID: O20150519000353 |
| 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 |
| Entity Name | University Health Shreveport, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619443611 PECOS PAC ID: 7416207196 Enrollment ID: O20181109000875 |
| 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 |
| Entity Name | Indep Anesthesia Services Of La Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275230443 PECOS PAC ID: 1355791062 Enrollment ID: O20231221000482 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin L Williams, CRNA 1455 E Bert Kouns Loop, Suite #100, Shreveport, LA 71105-5634 Ph: (318) 798-4596 | Kevin L Williams, CRNA 1455 E Bert Kouns Loop, Suite #100, Shreveport, LA 71105-5634 Ph: (318) 798-4596 |
Billy B Miller Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118 Phone: 318-212-5000 | |
Ms. Lisa Nicole Kellogg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5000 | |
Kurvis Antione Davis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 367 Carrollton Ave, Shreveport, LA 71105 Phone: 318-573-0604 | |
Brian House, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Benjamin R. Wisenbaker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833 | |
Michael Liles, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5000 | |
Kerri Annette Mullone, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 |