Leticia Alves Antunes, in Shreveport, LA - Medicare Family Medicine

Leticia Alves Antunes, is a medicare enrolled "Family Medicine" physician in Shreveport, Louisiana. Her current practice location is 8445 Line Ave Ste 100, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 626-4242.

Leticia Alves Antunes is licensed to practice in Louisiana (license number 332691) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740835644.

Contact Information

	Leticia Alves Antunes,
	8445 Line Ave Ste 100, Shreveport, LA 71106-5925
	(318) 626-4242
	Not Available

Map and Direction

Physician's Profile

Full Name	Leticia Alves Antunes
Gender	Female
Speciality	Family Medicine
Location	8445 Line Ave Ste 100, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740835644
Provider Enumeration Date: 08/07/2019
Last Update Date: 09/22/2022

Medicare PECOS Information:

PECOS PAC ID: 8628308970
Enrollment ID: I20221110001285

Medical Identifiers

Medical identifiers for Leticia Alves Antunes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740835644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	332691 (Louisiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Leticia Alves Antunes allows following entities to bill medicare on her behalf.

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leticia Alves Antunes is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Leticia Alves Antunes, 8445 Line Ave Ste 100, Shreveport, LA 71106-5925 Ph: (318) 626-4242	Leticia Alves Antunes, 8445 Line Ave Ste 100, Shreveport, LA 71106-5925 Ph: (318) 626-4242

Reviews and Comments

Family Medicine Doctors in Shreveport, LA

Ratnam Baby Nagalla, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 870 Olive St, Shreveport, LA 71104 Phone: 318-629-0480 Fax: 318-629-0483
David Juston Colvin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8383 Millicent Way, Shreveport, LA 71115 Phone: 318-797-6661 Fax: 318-795-8512
Susan Michelle Self, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr, Suite 540, Shreveport, LA 71115 Phone: 318-212-3810 Fax: 318-212-3815
Jaya R Mcsharma, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 700 Texas St Ste 101, Shreveport, LA 71101 Phone: 318-777-6843 Fax: 318-625-5520
Dr. Kirk Anthony Grantham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2530 Bert Kouns Loop, Suite 138, Shreveport, LA 71118 Phone: 318-588-4726 Fax: 318-900-7828
Ayesha Tabassom, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833
David Henry, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7813 Youree Dr, Shreveport, LA 71105 Phone: 318-212-3830 Fax: 318-212-3835

Leticia Alves Antunes, - Medicare Family Medicine in Shreveport, LA