Phillip M Priddy, CRNA - Medicare Nurse Anesthetist, Certified Registered in Shreveport, LA

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Phillip M Priddy, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Shreveport, Louisiana. His current practice location is 1501 Kings Hwy, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 675-5584.

Phillip M Priddy is licensed to practice in Louisiana (license number RN054704) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124108758.

Contact Information

Phillip M Priddy, CRNA
1501 Kings Hwy,
Shreveport, LA 71103-4228
(318) 675-5584
Not Available

Map and Direction




Provider's Profile

Full NamePhillip M Priddy
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1501 Kings Hwy, Shreveport, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124108758
  • Provider Enumeration Date: 10/17/2006
  • Last Update Date: 04/23/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0749273696
  • Enrollment ID: I20040406001091

Medical Identifiers

Medical identifiers for Phillip M Priddy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124108758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN054704 (Louisiana)Primary

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. Phillip M Priddy allows following entities to bill medicare on his behalf.
Entity NameTandem Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356453583
PECOS PAC ID: 0446159685
Enrollment ID: O20040107000123
Entity NameBrfhh Shreveport Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912909912
PECOS PAC ID: 0345475836
Enrollment ID: O20150519000353
Entity NameOsc Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063862340
PECOS PAC ID: 1355637810
Enrollment ID: O20160908002453
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 NameUniversity Health Shreveport, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619443611
PECOS PAC ID: 7416207196
Enrollment ID: O20181109000875

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. Phillip M Priddy 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
Phillip M Priddy, CRNA
1501 Kings Hwy,
Shreveport, LA 71130-4228

Ph: (318) 675-5584		Phillip M Priddy, CRNA
1501 Kings Hwy,
Shreveport, LA 71103-4228

Ph: (318) 675-5584

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Shreveport, LA

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    

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.