Jerry Eldon Davis, MD | |
8001 Youree Dr, Shreveport, LA 71115-2302 | |
(318) 212-3500 | |
(318) 212-3505 |
Full Name | Jerry Eldon Davis |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 8001 Youree Dr, Shreveport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902898992 | NPI | - | NPPES |
1542334 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 12082R (Louisiana) | Primary |
Entity Name | Willis Knighton Medical Center, Inc. Wk Emergency Dept Group |
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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 |
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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 |
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Jerry Eldon Davis, MD Po Box 32600, Shreveport, LA 71130-2600 Ph: (318) 212-4877 | Jerry Eldon Davis, MD 8001 Youree Dr, Shreveport, LA 71115-2302 Ph: (318) 212-3500 |
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 |