Rusella Mirza, MD, PHD in Shreveport, LA

Rusella Mirza, MD, PHD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Shreveport, Louisiana. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Lsu Health Sciences Center Shreveport Faculty Group Practice and her current practice location is 1541 Kings Hwy, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 675-7822.

Rusella Mirza is licensed to practice in Louisiana (license number 326283) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346786076.

Contact Information

	Rusella Mirza, MD, PHD
	1541 Kings Hwy, Shreveport, LA 71103-4228
	(318) 675-7822
	(318) 675-6966

Map and Direction

Physician's Profile

Full Name	Rusella Mirza
Gender	Female
Speciality	Pathology
Experience	23 Years
Location	1541 Kings Hwy, 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.

Medical Education and Training:

Rusella Mirza graduated from medical school in 2001

NPI Data:

NPI Number: 1346786076
Provider Enumeration Date: 01/19/2017
Last Update Date: 05/04/2022

Medicare PECOS Information:

PECOS PAC ID: 4486928900
Enrollment ID: I20210708001095

Medical Identifiers

Medical identifiers for Rusella Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346786076	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	326283 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ochsner Lsu Health Shreveport	Shreveport, LA	Hospital
Ochsner Lsu Health Shreveport-st Mary Medical Cent	Shreveport, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lsu Health Sciences Center Shreveport Faculty Group Practice	4082902721	534

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rusella Mirza allows following entities to bill medicare on her behalf.

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rusella Mirza is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Rusella Mirza, MD, PHD 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: (318) 626-0287	Rusella Mirza, MD, PHD 1541 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 675-7822

Reviews and Comments

Pathology Doctors in Shreveport, LA

Kshitij Satnamdas Arora, Pathology Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Fleurette Wilheimina Abreo, MBBS Pathology Medicare: Medicare Enrolled Practice Location: 2915 Missouri Ave, Shreveport, LA 71109 Phone: 318-621-8820 Fax: 318-212-4189
Dr. Fredric Thomas Siskron, MD Pathology Medicare: Medicare Enrolled Practice Location: 2915 Missouri Ave, Shreveport, LA 71109 Phone: 318-364-2000
Sara Samadzadeh, M.D Pathology Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 310-938-4285
Dr. George K. Harrison, MD Pathology Medicare: Medicare Enrolled Practice Location: 2915 Missouri Ave, Shreveport, LA 71109 Phone: 318-364-2000
Warren Donovan Grafton, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Pathology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666
Dr. Maria-magdalena Georgescu, M.D., PH.D. Pathology Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-4929

Rusella Mirza, MD, PHD - Medicare Pathology in Shreveport, LA