Dr Philip Edwin Gates, MD | |
3100 Samford Ave, Shreveport, LA 71103-4239 | |
(318) 226-3306 | |
(318) 226-3319 |
Full Name | Dr Philip Edwin Gates |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 3100 Samford 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 |
---|---|---|---|
1700856101 | NPI | - | NPPES |
1698857 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 10329R (Louisiana) | Primary |
207X00000X | Orthopaedic Surgery | E8504 (Texas) | Secondary |
Entity Name | Shriners Hospitals For Children |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679617849 PECOS PAC ID: 9133031933 Enrollment ID: O20121203000457 |
Mailing Address | Practice Location Address |
---|---|
Dr Philip Edwin Gates, MD Po Box 8500, Lockbox 7642, Philadelphia, PA 19178-7642 Ph: (813) 281-8478 | Dr Philip Edwin Gates, MD 3100 Samford Ave, Shreveport, LA 71103-4239 Ph: (318) 226-3306 |
Dr. Carlton Gregory Houtz, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Suite # 210, Shreveport, LA 71105 Phone: 318-798-4623 Fax: 318-798-4646 | |
Dr. Mario H Lobao Goncalves, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 443-850-8427 Fax: 318-675-6181 | |
Powell Britain Auer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns, Suite #210, Shreveport, LA 71105 Phone: 318-798-4623 Fax: 318-798-4646 | |
Benjamin Marcus Feibel, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105 Phone: 318-798-4623 | |
John Marshall Haynie, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Line Ave, Suite 100, Shreveport, LA 71101 Phone: 318-635-3052 Fax: 318-635-3072 | |
Margaret L Olmedo, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Orthopaedics, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666 | |
Stephen L. Cox, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Line Ave, Suite 100, Shreveport, LA 71101 Phone: 318-635-3052 Fax: 318-635-3072 |