Fredric T Siskron Iv, MD | |
2551 Greenwood Rd, Suite 140, Shreveport, LA 71103-3981 | |
(318) 212-8899 | |
(318) 212-8806 |
Full Name | Fredric T Siskron Iv |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 27 Years |
Location | 2551 Greenwood Rd, 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 |
---|---|---|---|
1437114824 | NPI | - | NPPES |
1054232 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 023873 (Louisiana) | Secondary |
208800000X | Urology | 01071979A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Deaconess Hospital Inc | Evansville, IN | Hospital |
Desoto Regional Health System | Mansfield, LA | Hospital |
Entity Name | Louisiana State University Health Sciences Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417992249 PECOS PAC ID: 6103730908 Enrollment ID: O20031208000275 |
Entity Name | Wk Signature Urology Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225093610 PECOS PAC ID: 5597761825 Enrollment ID: O20061010000600 |
Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
Mailing Address | Practice Location Address |
---|---|
Fredric T Siskron Iv, MD 2551 Greenwood Rd, Suite 140, Shreveport, LA 71103-3981 Ph: (318) 212-8899 | Fredric T Siskron Iv, MD 2551 Greenwood Rd, Suite 140, Shreveport, LA 71103-3981 Ph: (318) 212-8899 |
Ralph Jonathan Henderson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 255 Bert Kouns, Shreveport, LA 71106 Phone: 318-683-0411 Fax: 318-603-5461 | |
Dennis Dale Venable, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Urology, Shreveport, LA 71103 Phone: 318-813-2750 Fax: 318-813-2755 | |
Alison Smith Spann, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 255 Bert Kouns Industrial Loop, Shreveport, LA 71106 Phone: 318-683-0411 Fax: 318-688-8525 | |
Raymond Wendell Turner, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 9854 Jennifer Ln, Shreveport, LA 71106 Phone: 318-797-5786 | |
Dr. Tajammul N Fazili, MD Urology Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Mrs. Ashley Sittig Baker, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 255 Bert Kouns, Shreveport, LA 71106 Phone: 318-683-0411 Fax: 318-603-5461 | |
Andre Paul Broussard, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5053 |