Rebecca E Pistorius, MD | |
1111 Line Ave Fl 3, Shreveport, LA 71101-3841 | |
(318) 716-4610 | |
(318) 716-4690 |
Full Name | Rebecca E Pistorius |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 9 Years |
Location | 1111 Line Ave Fl 3, Shreveport, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518353671 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 322141 (Louisiana) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 322141 (Louisiana) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wk Center For Psychiatric Support | 6406972645 | 8 |
Entity Name | Brentwood Acquisition-shreveport Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164725701 PECOS PAC ID: 1951379312 Enrollment ID: O20040923000015 |
Entity Name | Wk Center For Psychiatric Support |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609194356 PECOS PAC ID: 6406972645 Enrollment ID: O20100925000006 |
Mailing Address | Practice Location Address |
---|---|
Rebecca E Pistorius, MD 1111 Line Ave Fl 3, Shreveport, LA 71101-3841 Ph: (318) 716-4610 | Rebecca E Pistorius, MD 1111 Line Ave Fl 3, Shreveport, LA 71101-3841 Ph: (318) 716-4610 |
Peimin Zhu, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833 | |
Susan Ing, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 E Stoner Avenue, Shreveport, LA 71101 Phone: 318-221-8411 | |
Izrail Abdurakhmanov, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Highway, Psychiatry, Shreveport, LA 71130 Phone: 318-626-2445 | |
Richard Matthew Zweig, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Neurology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666 | |
Dr. Joseph Dedrick Jordan, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
John Wagner, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7330 Fern Ave Ste 704, Shreveport, LA 71105 Phone: 318-798-8261 Fax: 316-798-8263 | |
Niroshan Sathivadivel, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1006 Highland Ave, Shreveport, LA 71101 Phone: 877-678-7500 |