Mid State Orthopaedic & Sports Medicine Center, Llc - Medicare in Alexandria, LA

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Mid State Orthopaedic & Sports Medicine Center, Llc is a medicare enrolled "Orthopaedic Surgery" provider in Alexandria, Louisiana. Their current practice location is 3444 Masonic Drive, Alexandria, Louisiana. You can reach out to their office (for appointments etc.) via phone at (318) 473-9556.

Mid State Orthopaedic & Sports Medicine Center, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mid State Orthopaedic & Sports Medicine Center, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1104890052.

Contact Information

Mid State Orthopaedic & Sports Medicine Center, Llc
3444 Masonic Drive,
Alexandria, LA 71301
(318) 473-9556
(318) 441-8339

Map and Direction




Healthcare Provider's Profile

Full NameMid State Orthopaedic & Sports Medicine Center, Llc
TypeFacility
SpecialityOrthopaedic Surgery
Location3444 Masonic Drive, Alexandria, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104890052
  • Provider Enumeration Date: 02/16/2006
  • Last Update Date: 01/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6204892540
  • Enrollment ID: O20041208000292

Medical Identifiers

Medical identifiers for Mid State Orthopaedic & Sports Medicine Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104890052NPI-NPPES
0570570001OtherLAMEDICARE DME GROUP #
CD7720OtherLARAILROAD MEDICARE PALMETT
1946320MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
213E00000XPodiatrist (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mid State Orthopaedic & Sports Medicine Center, Llc acts as a billing entity for following providers:
Provider NameJeffrey L Garrison
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1104849009
PECOS PAC ID: 7618916107
Enrollment ID: I20050425000882
Provider NameAnn A Campos-adkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740231711
PECOS PAC ID: 5294755740
Enrollment ID: I20051130000057
Provider NameGeorge H Lacour
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1477599645
PECOS PAC ID: 7416960661
Enrollment ID: I20060711000305
Provider NameDaniel R Oas
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1093782443
PECOS PAC ID: 6305845207
Enrollment ID: I20071217000868
Provider NameMichael J Leddy
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1821052028
PECOS PAC ID: 0648351940
Enrollment ID: I20080111000695
Provider NameWilliam D Crenshaw
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1700099538
PECOS PAC ID: 2567516446
Enrollment ID: I20090811000618
Provider NameRebecca L Smilie
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669775805
PECOS PAC ID: 0547441271
Enrollment ID: I20110228000853
Provider NameJeanne S Harrison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740694793
PECOS PAC ID: 1658599022
Enrollment ID: I20140826002577
Provider NameTimmothy Randell
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1245460013
PECOS PAC ID: 9133345564
Enrollment ID: I20150811004279
Provider NameWilliam D Rogenmoser
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1902171176
PECOS PAC ID: 6800186693
Enrollment ID: I20160607001821
Provider NameJamie L Rister
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1770801763
PECOS PAC ID: 0749426617
Enrollment ID: I20160722001386
Provider NameJanssen S Meeker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417409996
PECOS PAC ID: 6204116197
Enrollment ID: I20161212001100
Provider NameJames A Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568901874
PECOS PAC ID: 6204174139
Enrollment ID: I20190219000585
Provider NameAmy L Stallings
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871151399
PECOS PAC ID: 9739415795
Enrollment ID: I20190729002104
Provider NameAbby L Fennell
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1740887694
PECOS PAC ID: 8820409196
Enrollment ID: I20201118001961
Provider NameLarry J Doughty
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1922549211
PECOS PAC ID: 2365714177
Enrollment ID: I20220707000431
Provider NameMandy R Guilliams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578291258
PECOS PAC ID: 2668847138
Enrollment ID: I20230414000928
Provider NameMiles S Parsons
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1407385586
PECOS PAC ID: 7517230212
Enrollment ID: I20230821003184
Provider NameRashad J Sullivan
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1174962856
PECOS PAC ID: 0042511974
Enrollment ID: I20250116001353
Provider NameKlaire E Sutton
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1336950583
PECOS PAC ID: 0840729315
Enrollment ID: I20250128004980

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. Mid State Orthopaedic & Sports Medicine Center, Llc 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
Mid State Orthopaedic & Sports Medicine Center, Llc
3444 Masonic Drive,
Alexandria, LA 71301

Ph: (318) 473-9556		Mid State Orthopaedic & Sports Medicine Center, Llc
3444 Masonic Drive,
Alexandria, LA 71301

Ph: (318) 473-9556

Reviews and Comments



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