Dr David Theodore Vandermolen, MD | |
2401 Greenwood Rd, Suite A, Shreveport, LA 71103-4010 | |
(318) 841-5800 | |
(318) 841-5817 |
Full Name | Dr David Theodore Vandermolen |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology - Reproductive Endocrinology |
Location | 2401 Greenwood Rd, 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 |
---|---|---|---|
1366462368 | NPI | - | NPPES |
1551767 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VE0102X | Obstetrics & Gynecology - Reproductive Endocrinology | 12977R (Louisiana) | Primary |
Entity Name | Louisiana State University Health Sciences Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417992249 PECOS PAC ID: 6103730908 Enrollment ID: O20031208000275 |
Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
Mailing Address | Practice Location Address |
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Dr David Theodore Vandermolen, MD 2401 Greenwood Rd, Suite A, Shreveport, LA 71103-4010 Ph: (318) 841-5800 | Dr David Theodore Vandermolen, MD 2401 Greenwood Rd, Suite A, Shreveport, LA 71103-4010 Ph: (318) 841-5800 |
Sabrina Benefield Castle, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2510 W. Bert Kouns Industrial Loop, Shreveport, LA 71118 Phone: 318-212-5000 Fax: 903-553-7751 | |
Rodney Wise, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Dept Of Ob/gyn, Shreveport, LA 71103 Phone: 318-675-8700 Fax: 318-675-8706 | |
James Barrow, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Ob Gyn, Shreveport, LA 71103 Phone: 318-675-5000 | |
Melissa Fett Jordan, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3100 Fairfield Ave, Unit 10a, Shreveport, LA 71104 Phone: 318-201-3939 | |
Russell D Burlison, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4400 Fax: 318-798-4621 | |
Dr. Ricky Allen Paul, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr Ste 600, Shreveport, LA 71115 Phone: 318-212-3890 Fax: 318-212-3888 | |
Amanda Hammad Bunton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2508 Bert Koun Loop, Suite 201, Shreveport, LA 71118 Phone: 318-212-5790 Fax: 318-212-5795 |