Brett A Koder, MD | |
7847 Youree Dr, Shreveport, LA 71105-5505 | |
(318) 212-3960 | |
(318) 212-3907 |
Full Name | Brett A Koder |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 41 Years |
Location | 7847 Youree Dr, Shreveport, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073508016 | NPI | - | NPPES |
343004 | Other | NC | COVENTRY HEALTHCARE |
1041160 | Other | NC | UNITED HEALTHCARE |
15359 | Other | NC | PARTNERS HEALTHPLAN |
269370YNUV | Other | LA | MEDICARE PTAN |
1974677 | Medicaid | LA | |
8950035 | Medicaid | NC | |
2567929006 | Other | NC | CIGNA HEALTHCARE |
2103801 | Other | NC | MAMSI |
120247 | Medicaid | SC | |
163923 | Other | NC | MIDSOUTH INS |
2019474 | Other | NC | AETNA HEALTHPLAN |
040011888 | Other | NC | RAILROAD MEDICARE |
50035 | Other | NC | BLUE CROSS BLUE SHIELD |
73986 | Other | NC | MEDCOST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | MD.017292 (Louisiana) | Primary |
174400000X | Specialist | 96-00594 (North Carolina) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wk Pierremont Ent | 5092744250 | 6 |
Entity Name | Wk Pierremont Ent |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659316727 PECOS PAC ID: 5092744250 Enrollment ID: O20050808000765 |
Mailing Address | Practice Location Address |
---|---|
Brett A Koder, MD 7847 Youree Dr, Shreveport, LA 71105-5505 Ph: (318) 212-3960 | Brett A Koder, MD 7847 Youree Dr, Shreveport, LA 71105-5505 Ph: (318) 212-3960 |
William Harrel Watkins, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2121 Line Ave, Shreveport, LA 71104 Phone: 318-226-9441 Fax: 318-425-3236 | |
Amelia Kate Ramsey, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2121 Line Ave, Shreveport, LA 71104 Phone: 901-448-5885 | |
Michael T Yim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-6262 | |
Dr. Clifford H Rice Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4464 Fax: 318-798-4529 | |
Lindsey Alexander Pennington, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Otolaryngology, Shreveport, LA 71103 Phone: 318-813-2690 Fax: 318-813-2692 | |
Judd H Chidlow, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4569 Fax: 318-798-4423 |