Tucker S Blackledge, MD in Shreveport, LA

Tucker S Blackledge, MD is a medicare enrolled "Pediatrics" physician in Shreveport, Louisiana. His current practice location is 1501 Kings Hwy, Pediatrics, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 626-2274.

Tucker S Blackledge is licensed to practice in Arkansas (license number E-13312) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134651284.

Contact Information

	Tucker S Blackledge, MD
	1501 Kings Hwy, Pediatrics, Shreveport, LA 71103-4228
	(318) 626-2274
	Not Available

Map and Direction

Physician's Profile

Full Name	Tucker S Blackledge
Gender	Male
Speciality	Pediatrics
Location	1501 Kings Hwy, 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: 1134651284
Provider Enumeration Date: 03/29/2017
Last Update Date: 08/14/2023

Medicare PECOS Information:

PECOS PAC ID: 1658637772
Enrollment ID: I20230816002555

Medical Identifiers

Medical identifiers for Tucker S Blackledge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134651284	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	E-13312 (Arkansas)	Primary
2080P0207X	Pediatrics - Pediatric Hematology-oncology	E-13312 (Arkansas)	Secondary

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. Tucker S Blackledge allows following entities to bill medicare on his behalf.

Entity Name	University Of Arkansas For Medical Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431

Entity Name	Arkansas Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796

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. Tucker S Blackledge 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
Tucker S Blackledge, MD 1 Childrens Way # 653, Little Rock, AR 72202-3500 Ph: (501) 364-1100	Tucker S Blackledge, MD 1501 Kings Hwy, Pediatrics, Shreveport, LA 71103-4228 Ph: (318) 626-2274

Reviews and Comments

Pediatrics Doctors in Shreveport, LA

Shaheena Anene, Pediatrics Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Uday Kumar Chalwadi, Pediatrics Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Lea Bonifacio Penales, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2520 Bert Kouns Loop, Suite 215, Shreveport, LA 71118 Phone: 318-212-5970 Fax: 318-212-5975
Marco Quispe Leveau, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Medicine, Shreveport, LA 71103 Phone: 318-675-5000
Amanda Bradshaw Raney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7045 Youree Dr, Shreveport, LA 71105 Phone: 318-798-3763 Fax: 318-797-0645
Martha M Whyte, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Mary Pl, Shreveport, LA 71101 Phone: 318-227-4658 Fax: 318-424-6606
Dr. Stephanie Boyd Henson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 Fairfield Ave, Suite 201, Shreveport, LA 71101 Phone: 318-848-2810 Fax: 318-848-2815

Tucker S Blackledge, MD - Medicare Pediatrics in Shreveport, LA