Marc Dennis Breehl, MD | |
510 E Stoner Ave, Shreveport, LA 71101-4243 | |
(318) 221-8411 | |
(318) 990-5710 |
Full Name | Marc Dennis Breehl |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 510 E Stoner Ave, 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 |
---|---|---|---|
1538124144 | NPI | - | NPPES |
8G1548 | Other | TX | BCBSTX |
175924301 | Medicaid | TX | |
100065320A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 206991 (Louisiana) | Primary |
Entity Name | Louisiana State University Health Sciences Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558441857 PECOS PAC ID: 6103730908 Enrollment ID: O20040212000036 |
Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
Mailing Address | Practice Location Address |
---|---|
Marc Dennis Breehl, MD 104 Calais Ct, Bossier City, LA 71111-5482 Ph: (318) 347-8129 | Marc Dennis Breehl, MD 510 E Stoner Ave, Shreveport, LA 71101-4243 Ph: (318) 221-8411 |
Dr. James Williams, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Mary Pl, Shreveport, LA 71101 Phone: 318-681-4440 | |
Maurice Hawley, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenwood Rd, Shreveport, LA 71103 Phone: 972-664-6963 Fax: 770-237-4731 | |
Hiram Vazquez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3217 Mabel St, Shreveport, LA 71103 Phone: 318-631-9121 Fax: 318-631-9126 | |
Azem Chami, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Cleveland S Waterman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5581 | |
Dr. Akmal A Mikhail I, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Dr. Harish Bangalore Siddaiah, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Highway, Department Of Anesthesiology, Shreveport, LA 71103 Phone: 318-626-1565 Fax: 318-675-6681 |