Larissa S Koll, CRNA | |
2400 Hospital Dr, Bossier City, LA 71111-2385 | |
(318) 212-7000 | |
Not Available |
Full Name | Larissa S Koll |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 2400 Hospital Dr, Bossier City, 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 |
---|---|---|---|
1275865271 | NPI | - | NPPES |
2100556 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 099609 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Willis Knighton Medical Center Inc Crna Group | 1759358674 | 83 |
University Health Shreveport, Llc | 7416207196 | 50 |
Entity Name | Willis Knighton Medical Center Inc Crna Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174546097 PECOS PAC ID: 1759358674 Enrollment ID: O20040910001124 |
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 |
Mailing Address | Practice Location Address |
---|---|
Larissa S Koll, CRNA 2400 Hospital Dr, Bossier City, LA 71111-2385 Ph: (318) 212-7000 | Larissa S Koll, CRNA 2400 Hospital Dr, Bossier City, LA 71111-2385 Ph: (318) 212-7000 |
Monica N Collinsworth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Dr, Bossier City, LA 71111 Phone: 318-212-7000 | |
Farrah Lee Baker, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2400 Hospital Dr, Bossier City, LA 71111 Phone: 318-212-7000 | |
Dr. Colton Sedberry, DNP-A, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3418 Grand Bayou Dr, Bossier City, LA 71111 Phone: 318-210-8173 | |
Mr. Jon Patrick Jeffcoat, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2105 Airline Dr, Bossier City, LA 71111 Phone: 318-549-2011 | |
Mr. Creighton K Cathey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 603 Fall Winds Cir, Bossier City, LA 71111 Phone: 318-230-3000 | |
Dr. Jarred Dewayne Sepulvado, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 605 Tunica Trl, Bossier City, LA 71111 Phone: 318-780-0329 |