Allegiance Medical Clinic - Medicare Primary Care in Ruston, LA

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Allegiance Medical Clinic is a medicare enrolled primary clinic (Family Medicine) in Ruston, Louisiana. The current practice location for Allegiance Medical Clinic is 1200 Celebrity Dr, Ruston, Louisiana. For appointments, you can reach them via phone at (318) 254-2100. The mailing address for Allegiance Medical Clinic is 1200 Celebrity Dr, Ruston, Louisiana.

Allegiance Medical Clinic is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1154012185. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (318) 254-2100.

Contact Information

Allegiance Medical Clinic
1200 Celebrity Dr
Ruston
LA 71270-3893
(318) 254-2100
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameAllegiance Medical Clinic
SpecialityFamily Medicine
Location1200 Celebrity Dr, Ruston, Louisiana
Authorized Official Name and PositionKathy M Hall (CEO)
Authorized Official Contact3182542450
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Allegiance Medical Clinic
1200 Celebrity Dr
Ruston
LA 71270-3893
Allegiance Medical Clinic
1200 Celebrity Dr
Ruston
LA 71270-3893

Ph: (318) 254-2100

NPI Details:

NPI Number1154012185
Provider Enumeration Date05/19/2023
Last Update Date05/19/2023
Certification Date05/09/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7315361425
Medicare Enrollment IDO20220718002173

Medical Identifiers

Medical identifiers for Allegiance Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154012185NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Allegiance Medical Clinic acts as a billing entity for following providers:
Provider NameBobby T Ensminger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508813742
PECOS PAC ID: 3870490980
Enrollment ID: I20031217000314
Provider NameMichael S Phillips
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154391431
PECOS PAC ID: 2062449911
Enrollment ID: I20050721000738
Provider NameElvin Gregory Tubre
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336108877
PECOS PAC ID: 8123015989
Enrollment ID: I20071217000732
Provider NameLandon C Smith
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1790783322
PECOS PAC ID: 5294894499
Enrollment ID: I20081103000391
Provider NameWilliam Sanders
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093921066
PECOS PAC ID: 1052465705
Enrollment ID: I20090815000042
Provider NameEdie Lemley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891711883
PECOS PAC ID: 1355496423
Enrollment ID: I20090826000544
Provider NameCandace Moak
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1588634273
PECOS PAC ID: 4981784519
Enrollment ID: I20100211000373
Provider NameMark Blackwelder
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245200880
PECOS PAC ID: 0345320974
Enrollment ID: I20100303001150
Provider NameJohnathan C Baines
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679769889
PECOS PAC ID: 5193856755
Enrollment ID: I20100625000112
Provider NameAaron Marquardt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538349733
PECOS PAC ID: 7315129038
Enrollment ID: I20110316000598
Provider NameSavannah T Ray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285996306
PECOS PAC ID: 1557527793
Enrollment ID: I20120716000570
Provider NameRobert Todd Rickman
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1417168782
PECOS PAC ID: 0042476418
Enrollment ID: I20120730000646
Provider NameHolly C Joiner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164579116
PECOS PAC ID: 9436399748
Enrollment ID: I20130710000568
Provider NameKenneth P Metoyer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265692156
PECOS PAC ID: 1759518343
Enrollment ID: I20131205000196
Provider NameKamal a Masri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134418437
PECOS PAC ID: 8022232305
Enrollment ID: I20150129001319
Provider NameKevin M Langlois
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184997264
PECOS PAC ID: 6204145261
Enrollment ID: I20151014002501
Provider NameMarlene Daher
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1952371965
PECOS PAC ID: 6608956230
Enrollment ID: I20160203000883
Provider NameRobin Renee Hart Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346612173
PECOS PAC ID: 4880998046
Enrollment ID: I20160209000215
Provider NameRobert Railey Garrett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992162622
PECOS PAC ID: 8820392681
Enrollment ID: I20160215002472
Provider NameStavan Y Patel
Provider TypePractitioner - Maxillofacial Surgery
Provider IdentifiersNPI Number: 1558688309
PECOS PAC ID: 6507161817
Enrollment ID: I20160721001012
Provider NameJennifer Calvert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598280752
PECOS PAC ID: 1052684537
Enrollment ID: I20170905002102
Provider NameEmily Keene Garlington
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1972084747
PECOS PAC ID: 9537411004
Enrollment ID: I20181010003244
Provider NameKevin J Bunn
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1205061504
PECOS PAC ID: 9638480304
Enrollment ID: I20190115003003
Provider NameErin Michelle Waller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578036349
PECOS PAC ID: 2567700073
Enrollment ID: I20190207002213
Provider NameWhitney M Rust
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477048874
PECOS PAC ID: 0941638548
Enrollment ID: I20200313001195
Provider NameElyse Mills
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417505413
PECOS PAC ID: 3072934785
Enrollment ID: I20200605000352
Provider NameKaleigh Marie Stephenson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336764604
PECOS PAC ID: 4486077591
Enrollment ID: I20200708001950
Provider NameHunter C Hall
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1104388982
PECOS PAC ID: 7719213065
Enrollment ID: I20220614002472
Provider NameHannah Rose Rugg
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1831758630
PECOS PAC ID: 0244662161
Enrollment ID: I20220726000254
Provider NameClayton G Branton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669934857
PECOS PAC ID: 5597091785
Enrollment ID: I20220808001617
Provider NameMark David Burns
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558034033
PECOS PAC ID: 1254715725
Enrollment ID: I20220901000407
Provider NameNancy E Bass
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1811922016
PECOS PAC ID: 1951359975
Enrollment ID: I20230524000472
Provider NameTaylor Blake Boggs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437937125
PECOS PAC ID: 5991152670
Enrollment ID: I20231117001470
Provider NameKevin Daniel White
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1548656630
PECOS PAC ID: 8729331970
Enrollment ID: I20240531000594
Provider NameCameron Mcmahen
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1265010185
PECOS PAC ID: 8123460995
Enrollment ID: I20240613000309
Provider NameCaleb Benjamin Stanfield
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1497252225
PECOS PAC ID: 6204187552
Enrollment ID: I20240823001369
Provider NameMadelyn Riels
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265060479
PECOS PAC ID: 9931520285
Enrollment ID: I20241007001247
Provider NameSarat Sabharwal
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1114983392
PECOS PAC ID: 9032007984
Enrollment ID: I20250108001022
Provider NameSoheil Sabzevari
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1831816016
PECOS PAC ID: 0143684654
Enrollment ID: I20250603001781
Provider NameOmar Chaabo
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1851072714
PECOS PAC ID: 4486016581
Enrollment ID: I20250616003426
Provider NameSarah Snowden
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1558218545
PECOS PAC ID: 4587149968
Enrollment ID: I20260402003482

Reviews and Comments

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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.