Dr Brian L Dockendorf, MD | |
1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | |
(318) 798-4600 | |
(318) 798-4412 |
Full Name | Dr Brian L Dockendorf |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 36 Years |
Location | 1455 E Bert Kouns Loop, 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 |
---|---|---|---|
1598769432 | NPI | - | NPPES |
1053315846 | Other | LA | GROUP MEDICARE NUMBER |
020025718 | Other | LA | RAILROAD MEDICARE NUMBER |
135485409 | Other | TX | TEXAS MEDICAID NUMBER |
1966053 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 09794R (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
Desoto Regional Health System | Mansfield, LA | Hospital |
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 |
---|---|
Dr Brian L Dockendorf, MD 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 Ph: (318) 798-4600 | Dr Brian L Dockendorf, MD 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 Ph: (318) 798-4600 |
James R Barnes, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Koun Loop, Suite #105, Shreveport, LA 71105 Phone: 318-798-4433 Fax: 318-798-4432 | |
Mary T Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-6154 | |
Dr. Paul E Perkowski, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833 | |
Dr. James Booth Burke, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1202 Louisiana Avenue, Shreveport, LA 71101 Phone: 318-212-8780 Fax: 318-212-6752 | |
Jennifer Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Surgery, Shreveport, LA 71103 Phone: 318-675-2655 | |
Dr. Terry Lairmore, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Dr. Mark H Smith, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2751 Albert L Bicknell Dr, Suite 3d, Shreveport, LA 71103 Phone: 318-212-4799 Fax: 318-424-3642 |