Holly Gaines Scurlock, PA-C in Shreveport, LA - Medicare Physician Assistant

Holly Gaines Scurlock, PA-C is a medicare enrolled "Physician Assistant - Medical" in Shreveport, Louisiana. Her current practice location is 9300 Mansfield Rd, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 629-3763.

Holly Gaines Scurlock is licensed to practice in Louisiana (license number PA.200600) 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 1134469463.

Contact Information

	Holly Gaines Scurlock, PA-C
	9300 Mansfield Rd, Shreveport, LA 71118-3155
	(318) 629-3763
	(318) 629-3767

Map and Direction

Provider's Profile

Full Name	Holly Gaines Scurlock
Gender	Female
Speciality	Physician Assistant - Medical
Location	9300 Mansfield Rd, 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: 1134469463
Provider Enumeration Date: 02/23/2013
Last Update Date: 02/23/2013

Medicare PECOS Information:

PECOS PAC ID: 0446490353
Enrollment ID: I20130716000891

Medical Identifiers

Medical identifiers for Holly Gaines Scurlock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134469463	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA.200600 (Louisiana)	Primary

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. Holly Gaines Scurlock 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
Holly Gaines Scurlock, PA-C 9300 Mansfield Rd, Shreveport, LA 71118-3155 Ph: (318) 629-3763	Holly Gaines Scurlock, PA-C 9300 Mansfield Rd, Shreveport, LA 71118-3155 Ph: (318) 629-3763

Reviews and Comments

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Holly Gaines Scurlock, PA-C - Medicare Physician Assistant in Shreveport, LA