Karren Russo, MD | |
2495 Shreveport Hwy, Pineville, LA 71360-4044 | |
(318) 473-0010 | |
Not Available |
Full Name | Karren Russo |
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Gender | Female |
Speciality | Ophthalmology |
Location | 2495 Shreveport Hwy, Pineville, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467413815 | NPI | - | NPPES |
1541362 | Medicaid | LA | |
P00178010 | Other | TRAVELERS MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | L12631R (Louisiana) | Primary |
Entity Name | Alexandria Eye And Laser Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538120985 PECOS PAC ID: 4789641010 Enrollment ID: O20041217000427 |
Entity Name | Christus Health Central Louisiana |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497895130 PECOS PAC ID: 4688570955 Enrollment ID: O20070615000135 |
Mailing Address | Practice Location Address |
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Karren Russo, MD 2495 Shreveport Hwy, Pineville, LA 71360-4044 Ph: (318) 473-0010 | Karren Russo, MD 2495 Shreveport Hwy, Pineville, LA 71360-4044 Ph: (318) 473-0010 |
Mr. James G Ralston, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 65 Medical Park Blvd, Ste 101, Pineville, LA 71360 Phone: 318-473-9958 Fax: 318-443-6935 | |
Mrs. Celeste Childress Luke, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2495 Shreveport Hwy, Pineville, LA 71360 Phone: 318-473-0010 | |
James R Hardin, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2495 Shreveport Hwy # 71, Pineville, LA 71360 Phone: 318-473-0100 | |
Dr. Joshua Richard Ford, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 2495 Shreveport Hwy, Pineville, LA 71360 Phone: 318-473-0010 | |
Peggy H Gramates, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2495 Shreveport Hwy, Pineville, LA 71360 Phone: 318-473-0010 | |
Dr. Martin Luther Laird Iv, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2495 Shreveport Hwy, Pineville, LA 71360 Phone: 318-473-0010 |