Clay Anthony Miller, CRNA | |
255 Bert Kouns Loop, Shreveport, LA 71106-8150 | |
(318) 683-0411 | |
(318) 683-0743 |
Full Name | Clay Anthony Miller |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 255 Bert Kouns Loop, 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 |
---|---|---|---|
1780771352 | NPI | - | NPPES |
1960357 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN044445 (Louisiana) | Primary |
Entity Name | Christus Health Northern Louisiana |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801822762 PECOS PAC ID: 8628980554 Enrollment ID: O20060111000997 |
Entity Name | University Health Shreveport, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619443611 PECOS PAC ID: 7416207196 Enrollment ID: O20181109000875 |
Entity Name | Ochsner Lsu Health Shreveport - St Mary Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285253252 PECOS PAC ID: 7810327343 Enrollment ID: O20200917001890 |
Mailing Address | Practice Location Address |
---|---|
Clay Anthony Miller, CRNA 1 Saint Mary Place, Pfs-prof Billing, Shreveport, LA 71101 Ph: (318) 681-6878 | Clay Anthony Miller, CRNA 255 Bert Kouns Loop, Shreveport, LA 71106-8150 Ph: (318) 683-0411 |
Billy B Miller Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118 Phone: 318-212-5000 | |
Ms. Lisa Nicole Kellogg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5000 | |
Kurvis Antione Davis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 367 Carrollton Ave, Shreveport, LA 71105 Phone: 318-573-0604 | |
Brian House, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Benjamin R. Wisenbaker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833 | |
Michael Liles, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5000 | |
Kerri Annette Mullone, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 |