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
- 9830141597
- Provider type
- Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- LA
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| 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 RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Shreveport Surgery Center Ptrshp
- Ambulatory Surgical Clinic/Center
- Shreveport, LA
- NPI 1598804486
-
Shreveport Surgery Center Ptrshp
dba Shreveport Surgery Anesthesia
- Anesthesiology Physician
- Shreveport, LA
- NPI 1992925135
Practice locations
- Shreveport, LA2
Clinicians 9
Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (2).
-
Elliott Denton Doucet, CRNA
- Certified Registered Nurse Anesthetist
- Shreveport, LA
- NPI 1215567573
-
Jennifer L Downey, CRNA
- Certified Registered Nurse Anesthetist
- Shreveport, LA
- NPI 1497053268
-
George Robert Merriman II, M.D.
- Surgery Physician
- Shreveport, LA
- NPI 1285670356
-
Pepper Patterson, CRNA
- Certified Registered Nurse Anesthetist
- Shreveport, LA
- NPI 1689771776
-
Rachel Lynn Payne, CRNA
- Certified Registered Nurse Anesthetist
- Shreveport, LA
- NPI 1558668368
-
Kenneth Wayne Sanders, MD
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Shreveport, LA
- NPI 1427080043
-
Misty D Smith, CRNA
- Certified Registered Nurse Anesthetist
- Bossier City, LA
- NPI 1790077089
-
John M Strong, CRNA
- Certified Registered Nurse Anesthetist
- Shreveport, LA
- NPI 1528148145
-
Blakely Nelson Thornton
- Otolaryngology Physician
- Shreveport, LA
- NPI 1225271513
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.