Segalit M Rivera-Murray, PA
Individual provider Active NPI Physician Assistant · Stonewall, LA
NPI 1457636664 · NPPES record last updated Nov 11, 2020
Key facts
- NPI
- 1457636664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA200510 (LA)
- Practice address
- 160 Stone Creek Rd Ste B
Stonewall, LA 71078-4906 - Phone
- (318) 925-3338
- Fax
- (318) 747-8150
- NPI assigned
- Oct 19, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bossier Family Medicine, LLC
Practice addresses (Care Compare)
160 Stone Creek Rd
Stonewall, LA 71078-4906
2539 Viking Dr
Bossier City, LA 71111-2165
Hospital & facility affiliations
- Primestar Home Health of Nwla, Inc
- Christus Shreveport-Bossier Health System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111110000858 | LA | Practitioner - Physician Assistant | 8527232461 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA200510 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bossier Family Medicine, LLC | Current |
Accepting new patients |
Locations
2539 Viking Dr
Ste 101
Bossier City, LA 71111
Phone (318) 747-8100
5390 Barksdale Blvd
Ste 100
Bossier City, LA 71112
Phone (318) 747-8100
2539 Viking Dr
Ste 100
Bossier City, LA 71111
Phone (318) 747-8100
160 Stone Creek Rd
Ste A
Stonewall, LA 71078
Phone (318) 925-3339
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PA200510 | LA | |
| Physician Assistant | 363A00000X | PA200510 | LA | Yes |
Addresses
Primary practice location
160 Stone Creek Rd Ste B
Stonewall, LA 71078-4906
Mailing address
2539 Viking Dr Ste 101
Bossier City, LA 71111-2165
Phone (318) 747-8100
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | srivera@bossierfamilymed.com | Health Information Exchange (HIE) |
Other providers in Stonewall, LA
- Amy Michelle Patterson
- Halley Powell
- Quality Mobile Ultrasound LLC
- Talina Reed
- Reflect and Reframe
- Shirley Roberts
- Melanie Robinson
- Laura C. Rodgers
- Tiffany Ross
- Holly Renee' Russo
All providers in Stonewall, LA · Physician Assistant in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.