Dr Dorothy L Mellon, MD | |
1541 Kings Hwy, Shreveport, LA 71103-4228 | |
(318) 629-0000 | |
(318) 629-4833 |
Full Name | Dr Dorothy L Mellon |
---|---|
Gender | Female |
Speciality | Otolaryngology |
Experience | 41 Years |
Location | 1541 Kings Hwy, Shreveport, 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 |
---|---|---|---|
1780663872 | NPI | - | NPPES |
149971002 | Medicaid | AR | |
149961001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 017167 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ochsner Lsu Health Shreveport | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lsu Health Sciences Center Shreveport Faculty Group Practice | 4082902721 | 534 |
Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
---|---|
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 |
---|---|
Dr Dorothy L Mellon, MD 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: () - | Dr Dorothy L Mellon, MD 1541 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 629-0000 |
William Harrel Watkins, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2121 Line Ave, Shreveport, LA 71104 Phone: 318-226-9441 Fax: 318-425-3236 | |
Amelia Kate Ramsey, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2121 Line Ave, Shreveport, LA 71104 Phone: 901-448-5885 | |
Brett A. Koder, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7847 Youree Dr, Shreveport, LA 71105 Phone: 318-212-3960 Fax: 318-212-3907 | |
Michael T Yim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-6262 | |
Dr. Clifford H Rice Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4464 Fax: 318-798-4529 | |
Lindsey Alexander Pennington, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Otolaryngology, Shreveport, LA 71103 Phone: 318-813-2690 Fax: 318-813-2692 | |
Judd H Chidlow, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4569 Fax: 318-798-4423 |