Clarke D Lilley, MD | |
1945 E 70th St, Suite B, Shreveport, LA 71105-5347 | |
(318) 797-1743 | |
Not Available |
Full Name | Clarke D Lilley |
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Gender | Male |
Speciality | Anesthesiology |
Location | 1945 E 70th St, 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 |
---|---|---|---|
1871572347 | NPI | - | NPPES |
1396478 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 016853 (Louisiana) | Primary |
Entity Name | Shriners Hospitals For Children |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679617849 PECOS PAC ID: 9133031933 Enrollment ID: O20121203000457 |
Mailing Address | Practice Location Address |
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Clarke D Lilley, MD Po Box 52448, Shreveport, LA 71135-2448 Ph: (318) 797-1743 | Clarke D Lilley, MD 1945 E 70th St, Suite B, Shreveport, LA 71105-5347 Ph: (318) 797-1743 |
Dr. James Williams, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Mary Pl, Shreveport, LA 71101 Phone: 318-681-4440 | |
Maurice Hawley, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenwood Rd, Shreveport, LA 71103 Phone: 972-664-6963 Fax: 770-237-4731 | |
Hiram Vazquez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3217 Mabel St, Shreveport, LA 71103 Phone: 318-631-9121 Fax: 318-631-9126 | |
Azem Chami, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Cleveland S Waterman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5581 | |
Dr. Akmal A Mikhail I, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Dr. Harish Bangalore Siddaiah, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Highway, Department Of Anesthesiology, Shreveport, LA 71103 Phone: 318-626-1565 Fax: 318-675-6681 |