Dr Sevetri Moore-guillaume, MD | |
8001 Youree Dr, Suite 880, Shreveport, LA 71115-2302 | |
(318) 212-3908 | |
(318) 212-3909 |
Full Name | Dr Sevetri Moore-guillaume |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 8001 Youree Dr, 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 |
---|---|---|---|
1922041565 | NPI | - | NPPES |
1329517 | Medicaid | LA | |
P00382860 | Other | LA | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 016859 (Louisiana) | Secondary |
207R00000X | Internal Medicine | 016859 (Louisiana) | Primary |
Entity Name | Oak Street Health Physicians Group Of Louisiana Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053917948 PECOS PAC ID: 6406261387 Enrollment ID: O20210301000008 |
Mailing Address | Practice Location Address |
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Dr Sevetri Moore-guillaume, MD 8001 Youree Dr, Suite 880, Shreveport, LA 71115-2302 Ph: (318) 212-3908 | Dr Sevetri Moore-guillaume, MD 8001 Youree Dr, Suite 880, Shreveport, LA 71115-2302 Ph: (318) 212-3908 |
Mansi Shah, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Koun Loop, #210, Shreveport, LA 71105 Phone: 318-798-4515 Fax: 318-798-4530 | |
Pratik Agrawal, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Dr. Bader Alotaibi, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2727 Hearne Ave Ste 301, Shreveport, LA 71103 Phone: 318-631-6400 | |
Paul A Rushing, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4488 Fax: 318-798-4420 | |
Sanjay Jain, Internal Medicine Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Primary Care (110), Shreveport, LA 71101 Phone: 318-221-8411 | |
Steven R Bailey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Venkateswara K Rao, M.D., Internal Medicine Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Medicine, Shreveport, LA 71103 Phone: 318-675-5000 |