Dr Jody Dale Chance, MD | |
5948 N Market St, Shreveport, LA 71107-2017 | |
(318) 375-0001 | |
Not Available |
Full Name | Dr Jody Dale Chance |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 19 Years |
Location | 5948 N Market St, 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 |
---|---|---|---|
1740365733 | NPI | - | NPPES |
MD.201154 | Other | LA | LICENSE |
1038130 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 201154 (Louisiana) | Secondary |
207Q00000X | Family Medicine | 201154 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Professional Hh Svc Of Minden | Minden, LA | Home health agency |
Primestar Home Health Of Nwla, Inc | Ringgold, LA | Home health agency |
North Caddo Medical Center | Vivian, LA | Hospital |
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Caddo Hospital Service District | 4385544584 | 13 |
Blanchard Medical | 8325450315 | 2 |
Entity Name | North Caddo Hospital Service District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326016684 PECOS PAC ID: 4385544584 Enrollment ID: O20040113000307 |
Entity Name | North Caddo Hospital Service District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477798668 PECOS PAC ID: 4385544584 Enrollment ID: O20090424000082 |
Entity Name | Benton Medical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932585841 PECOS PAC ID: 1456669654 Enrollment ID: O20151008001618 |
Entity Name | Blanchard Medical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760089791 PECOS PAC ID: 8325450315 Enrollment ID: O20201216001046 |
Mailing Address | Practice Location Address |
---|---|
Dr Jody Dale Chance, MD 666 Ma County Road 3314, Bivins, TX 75555-5024 Ph: (318) 426-2814 | Dr Jody Dale Chance, MD 5948 N Market St, Shreveport, LA 71107-2017 Ph: (318) 375-0001 |
Ratnam Baby Nagalla, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 870 Olive St, Shreveport, LA 71104 Phone: 318-629-0480 Fax: 318-629-0483 | |
David Juston Colvin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8383 Millicent Way, Shreveport, LA 71115 Phone: 318-797-6661 Fax: 318-795-8512 | |
Susan Michelle Self, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr, Suite 540, Shreveport, LA 71115 Phone: 318-212-3810 Fax: 318-212-3815 | |
Jaya R Mcsharma, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 700 Texas St Ste 101, Shreveport, LA 71101 Phone: 318-777-6843 Fax: 318-625-5520 | |
Dr. Kirk Anthony Grantham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2530 Bert Kouns Loop, Suite 138, Shreveport, LA 71118 Phone: 318-588-4726 Fax: 318-900-7828 | |
Ayesha Tabassom, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833 | |
David Henry, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7813 Youree Dr, Shreveport, LA 71105 Phone: 318-212-3830 Fax: 318-212-3835 |