Dr Barron Johns O'neal, MD | |
2210 Line Ave, Suite 204, Shreveport, LA 71104-2152 | |
(318) 221-9671 | |
(318) 425-2343 |
Full Name | Dr Barron Johns O'neal |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 47 Years |
Location | 2210 Line Ave, 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 |
---|---|---|---|
1184685950 | NPI | - | NPPES |
1385336 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 014595 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bundrick And O'neal Plastic Surgery (amc) | 4082739107 | 3 |
Entity Name | Bundrick And O'neal Plastic Surgery (amc) |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093776429 PECOS PAC ID: 4082739107 Enrollment ID: O20100914000105 |
Mailing Address | Practice Location Address |
---|---|
Dr Barron Johns O'neal, MD 2210 Line Ave, Suite 204, Shreveport, LA 71104-2152 Ph: (318) 221-9671 | Dr Barron Johns O'neal, MD 2210 Line Ave, Suite 204, Shreveport, LA 71104-2152 Ph: (318) 221-9671 |
Marjorie R Chelly, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5000 Fax: 318-675-5666 | |
Dr. Wallace Harold Brown Ii, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2210 Line Ave, Suite 204, Shreveport, LA 71104 Phone: 318-221-9671 Fax: 318-425-2343 | |
Dr. Ronzee Mcintyre Bridges, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4300 Youree Dr, Suite 300, Shreveport, LA 71105 Phone: 318-219-8555 Fax: 318-219-8557 | |
Sergei Kalsow, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Surgery, Shreveport, LA 71103 Phone: 318-675-6111 Fax: 318-675-6141 |