Dr Michael Vittorio Susano, MD | |
1310 N Hearne Ave, Shreveport, LA 71107-6516 | |
(318) 676-5111 | |
Not Available |
Full Name | Dr Michael Vittorio Susano |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 24 Years |
Location | 1310 N Hearne Ave, 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 |
---|---|---|---|
1063440105 | NPI | - | NPPES |
1041840 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 025874 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Louisiana Human Services District | 1456580398 | 12 |
Forefront-rush Medical Service Pa | 4486884285 | 15 |
Entity Name | Northwest Louisiana Human Services District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821421686 PECOS PAC ID: 1456580398 Enrollment ID: O20140412000086 |
Entity Name | Forefront Telecare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174035612 PECOS PAC ID: 9638319114 Enrollment ID: O20180509000228 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Vittorio Susano, MD 107 Medical Cir, Sulphur Springs, TX 75482-2138 Ph: (318) 869-2044 | Dr Michael Vittorio Susano, MD 1310 N Hearne Ave, Shreveport, LA 71107-6516 Ph: (318) 676-5111 |
Peimin Zhu, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833 | |
Susan Ing, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 E Stoner Avenue, Shreveport, LA 71101 Phone: 318-221-8411 | |
Izrail Abdurakhmanov, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Highway, Psychiatry, Shreveport, LA 71130 Phone: 318-626-2445 | |
Richard Matthew Zweig, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Neurology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666 | |
Dr. Joseph Dedrick Jordan, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
John Wagner, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7330 Fern Ave Ste 704, Shreveport, LA 71105 Phone: 318-798-8261 Fax: 316-798-8263 | |
Niroshan Sathivadivel, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1006 Highland Ave, Shreveport, LA 71101 Phone: 877-678-7500 |