Russell Allan Slack, CRNA in Shreveport, LA - Medicare Certified Registered Nurse Anesthetist (crna)

Russell Allan Slack, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Shreveport, Louisiana. He graduated from nursing school in 2002 and has 24 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Shreveport Sedation Associates, Llc and his current practice location is 3217 Mabel St, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 631-9121.

Russell Allan Slack is licensed to practice in Louisiana (license number AP03803) 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 1346334992.

Contact Information

	Russell Allan Slack, CRNA
	3217 Mabel St, Shreveport, LA 71103-4022
	(318) 631-9121
	(318) 638-6018

Map and Direction

Provider's Profile

Full Name	Russell Allan Slack
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	24 Years
Location	3217 Mabel St, 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.

Medical Education and Training:

Russell Allan Slack graduated from nursing school in 2002

NPI Data:

NPI Number: 1346334992
Provider Enumeration Date: 10/03/2006
Last Update Date: 11/09/2015

Medicare PECOS Information:

PECOS PAC ID: 6800810797
Enrollment ID: I20060118000683

Medical Identifiers

Medical identifiers for Russell Allan Slack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346334992	NPI	-	NPPES
1119831	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP03803 (Louisiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shreveport Sedation Associates, Llc	3173886736	10

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. Russell Allan Slack allows following entities to bill medicare on his behalf.

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	Shreveport Sedation Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770083164 PECOS PAC ID: 3173886736 Enrollment ID: O20180412000333

Entity Name	Anesthesia Dynamics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201020002548

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. Russell Allan Slack 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 Address	Practice Location Address
Russell Allan Slack, CRNA 3217 Mabel St, Shreveport, LA 71103-4022 Ph: (318) 631-9121	Russell Allan Slack, CRNA 3217 Mabel St, Shreveport, LA 71103-4022 Ph: (318) 631-9121

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

Russell Allan Slack, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Shreveport, LA