Mr Ellis Reed Maxwell, CRNA in Shreveport, LA - Medicare Nurse Anesthetist, Certified Registered

Mr Ellis Reed Maxwell, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Shreveport, Louisiana. His current practice location is 501 East Stoner Ave, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 221-8411.

Mr Ellis Reed Maxwell is licensed to practice in Louisiana (license number 079757) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730280264.

Contact Information

	Mr Ellis Reed Maxwell, CRNA
	501 East Stoner Ave, Shreveport, LA 71101
	(318) 221-8411
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Ellis Reed Maxwell
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	501 East Stoner Ave, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730280264
Provider Enumeration Date: 09/26/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5799125795
Enrollment ID: I20240424001597

Medical Identifiers

Medical identifiers for Mr Ellis Reed Maxwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730280264	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	079757 (Louisiana)	Primary

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. Mr Ellis Reed Maxwell allows following entities to bill medicare on his behalf.

Entity Name	Somc Medical Care Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203

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. Mr Ellis Reed Maxwell 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
Mr Ellis Reed Maxwell, CRNA 9409 Red Oak Lane, Shreveport, LA 71106 Ph: (318) 219-8580	Mr Ellis Reed Maxwell, CRNA 501 East Stoner Ave, Shreveport, LA 71101 Ph: (318) 221-8411

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Shreveport, LA

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

Mr Ellis Reed Maxwell, CRNA - Medicare Nurse Anesthetist, Certified Registered in Shreveport, LA