Ronald Daniel Vincent, CRNA | |
1 Saint Mary Place, Pfs-prof Billing, Shreveport, LA 71101 | |
(318) 681-6878 | |
(318) 681-6753 |
Full Name | Ronald Daniel Vincent |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 1 Saint Mary Place, Shreveport, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316030067 | NPI | - | NPPES |
1467201 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN089453 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
Specialists Hospital Shreveport | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Novus Louisiana Medical Professional Corporation | 5395194880 | 23 |
Medical Center Anesthesiologists | 6608814843 | 15 |
Christus Health Northern Louisiana | 8628980554 | 23 |
Entity Name | Medical Center Anesthesiologists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669469748 PECOS PAC ID: 6608814843 Enrollment ID: O20050419001114 |
Entity Name | Christus Health Northern Louisiana |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801822762 PECOS PAC ID: 8628980554 Enrollment ID: O20060111000997 |
Entity Name | Novus Louisiana Medical Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336926872 PECOS PAC ID: 5395194880 Enrollment ID: O20231208002673 |
Mailing Address | Practice Location Address |
---|---|
Ronald Daniel Vincent, CRNA 1 Saint Mary Place, Pfs-prof Billing, Shreveport, LA 71101 Ph: (318) 681-6878 | Ronald Daniel Vincent, CRNA 1 Saint Mary Place, Pfs-prof Billing, Shreveport, LA 71101 Ph: (318) 681-6878 |
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 | |
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. Caleb Phillips, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8001 Youree Dr, Shreveport, LA 71115 Phone: 318-212-3000 |