Shreveport Surgery Center Ptrshp

A Medicare group practice based in Shreveport, LA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9830141597), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9830141597The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
Enrolled in
LA
Enrollments
2
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20050210000899 LA Part B Supplier - Clinic/Group Practice 1992925135
O20100305000021 LA Part B Supplier - Ambulatory Surgical Center 1598804486

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 9

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (2).

Sources for this page