Dr Karen M'liss Pendleton, MD | |
6030 Line Ave, Suite 210, Shreveport, LA 71106-2062 | |
(318) 550-0050 | |
(318) 550-0053 |
Full Name | Dr Karen M'liss Pendleton |
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Gender | Female |
Speciality | Ophthalmology |
Location | 6030 Line Ave, 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 |
---|---|---|---|
1871781666 | NPI | - | NPPES |
1970701 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 017966 (Louisiana) | Primary |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 017966 (Louisiana) | Secondary |
Entity Name | Bopp Dermatology And Facial Plastic Surgery |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831244375 PECOS PAC ID: 4880721604 Enrollment ID: O20100427000095 |
Mailing Address | Practice Location Address |
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Dr Karen M'liss Pendleton, MD 6030 Line Ave, Suite 210, Shreveport, LA 71106-2062 Ph: (318) 550-0050 | Dr Karen M'liss Pendleton, MD 6030 Line Ave, Suite 210, Shreveport, LA 71106-2062 Ph: (318) 550-0050 |
Donald E Texada, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 471 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-861-4009 Fax: 318-861-4080 | |
Claude Youngblood Bundrick Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 471 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775 | |
Rogelio Orillac, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Ophthalmology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666 | |
Thomas Boone Redens, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Ophthalmology, Shreveport, LA 71103 Phone: 318-675-6901 Fax: 318-675-4819 | |
Mary Ellen Berg, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 471 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775 | |
Ann H Guy, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 471 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775 | |
Dr. Frederick Randall Kirchner, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 471 Ashley Ridge Blvd., Shreveport, LA 71106 Phone: 318-795-4770 Fax: 318-795-4775 |