Mr Derek R Mcclusky, MD | |
1200 S Farmerville St, Ruston, LA 71270-5941 | |
(318) 255-3690 | |
Not Available |
Full Name | Mr Derek R Mcclusky |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 25 Years |
Location | 1200 S Farmerville St, Ruston, 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 |
---|---|---|---|
1184694903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 25752 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northern Louisiana Medical Center | Ruston, LA | Hospital |
Monroe Surgical Hospital | Monroe, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Green Clinic Llc | 4789668831 | 50 |
Entity Name | Green Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831178755 PECOS PAC ID: 4789668831 Enrollment ID: O20040616000177 |
Mailing Address | Practice Location Address |
---|---|
Mr Derek R Mcclusky, MD 1200 S Farmerville St, Ruston, LA 71270-5941 Ph: (318) 255-3690 | Mr Derek R Mcclusky, MD 1200 S Farmerville St, Ruston, LA 71270-5941 Ph: (318) 255-3690 |
Dr. Cody Blackwelder, MD Surgery Medicare: Medicare Enrolled Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-3690 | |
Mr. Greene Butler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-3690 | |
Kerry Wayne Byrnes, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-9630 |