Claude Youngblood Bundrick Jr, MD | |
471 Ashley Ridge Blvd, Shreveport, LA 71106-7229 | |
(318) 795-4770 | |
(318) 795-4775 |
Full Name | Claude Youngblood Bundrick Jr |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 14 Years |
Location | 471 Ashley Ridge Blvd, 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 |
---|---|---|---|
1043538796 | NPI | - | NPPES |
2102915 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 205789 (Louisiana) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Highland Clinic, A Prof Med Corp | 3870493463 | 48 |
Entity Name | Highland Clinic, A Prof Med Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053315846 PECOS PAC ID: 3870493463 Enrollment ID: O20040220000551 |
Mailing Address | Practice Location Address |
---|---|
Claude Youngblood Bundrick Jr, MD 471 Ashley Ridge Blvd, Shreveport, LA 71106-7229 Ph: (318) 795-4770 | Claude Youngblood Bundrick Jr, MD 471 Ashley Ridge Blvd, Shreveport, LA 71106-7229 Ph: (318) 795-4770 |
Donald E Texada, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 471 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-861-4009 Fax: 318-861-4080 | |
Rogelio Orillac, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Ophthalmology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666 | |
Thomas Boone Redens, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Ophthalmology, Shreveport, LA 71103 Phone: 318-675-6901 Fax: 318-675-4819 | |
Mary Ellen Berg, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 471 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775 | |
Ann H Guy, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 471 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775 | |
Dr. Frederick Randall Kirchner, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 471 Ashley Ridge Blvd., Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775 |