Dr Travis Headley, MD | |
2034 Garrett Farms Row, Shreveport, LA 71106-2572 | |
(304) 919-0530 | |
Not Available |
Full Name | Dr Travis Headley |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 15 Years |
Location | 2034 Garrett Farms Row, 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 |
---|---|---|---|
1982847414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD.204300 (Louisiana) | Primary |
207P00000X | Emergency Medicine | ME 112510 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cross Lake Emergency Group, Llc | 5395096440 | 45 |
Entity Name | Willis Knighton Medical Center, Inc. Wk Emergency Dept Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669422796 PECOS PAC ID: 6901829175 Enrollment ID: O20060113000433 |
Entity Name | Cross Lake Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013497114 PECOS PAC ID: 5395096440 Enrollment ID: O20180928000987 |
Mailing Address | Practice Location Address |
---|---|
Dr Travis Headley, MD 2034 Garrett Farms Row, Shreveport, LA 71106-2572 Ph: (304) 919-0530 | Dr Travis Headley, MD 2034 Garrett Farms Row, Shreveport, LA 71106-2572 Ph: (304) 919-0530 |
David James Caltrider, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130 Phone: 318-626-2326 | |
Hunter Rennie, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-1034 | |
Dr. Craig Florea, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenwood Rd, Shreveport, LA 71103 Phone: 318-212-4500 | |
Dr. Lacey Whited, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Emergency Medicine, Shreveport, LA 71103 Phone: 318-675-6885 Fax: 318-675-6878 | |
Roy Brandhurst, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr, Shreveport, LA 71115 Phone: 318-212-3500 Fax: 318-212-3505 | |
Joseph William Yarbrough Jr., DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130 Phone: 318-626-1034 | |
Brett Horn, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Emergency Medicine, Shreveport, LA 71103 Phone: 318-675-7261 Fax: 318-675-6878 |