Leonard Terry Martin Jr, PA in Shreveport, LA - Medicare Physician Assistant

Leonard Terry Martin Jr, PA is a medicare enrolled "Physician Assistant" in Shreveport, Louisiana. His current practice location is 1541 Kings Hwy, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 626-0000.

Leonard Terry Martin Jr is licensed to practice in Louisiana (license number 200825) 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 1679510457.

Contact Information

	Leonard Terry Martin Jr, PA
	1541 Kings Hwy, Shreveport, LA 71103-4228
	(318) 626-0000
	(318) 629-4833

Map and Direction

Provider's Profile

Full Name	Leonard Terry Martin Jr
Gender	Male
Speciality	Physician Assistant
Location	1541 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: 1679510457
Provider Enumeration Date: 06/01/2006
Last Update Date: 02/27/2023

Medicare PECOS Information:

PECOS PAC ID: 5597666404
Enrollment ID: I20140310000222

Medical Identifiers

Medical identifiers for Leonard Terry Martin Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679510457	NPI	-	NPPES
P00612648	Other	GA	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	200825 (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. Leonard Terry Martin Jr 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
Leonard Terry Martin Jr, PA 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: (318) 626-0177	Leonard Terry Martin Jr, PA 1541 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 626-0000

Reviews and Comments

Physician Assistant Nurses in Shreveport, LA

Tate James Perque, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1453 E Bert Kouns Industrial Loop Ste 318, Shreveport, LA 71105 Phone: 318-681-1968 Fax: 318-681-1969
Jennifer B Cypher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Mrs. Kristi Harrison Gaspard, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8383 Millicent Way, Shreveport, LA 71115 Phone: 318-797-6661 Fax: 318-795-8512
Susan Lenora Steen, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Neurosurgery, Shreveport, LA 71103 Phone: 318-675-6901 Fax: 318-675-4819
Jeanette Catherine Pang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7925 Youree Dr Ste 200, Shreveport, LA 71105 Phone: 318-212-3610 Fax: 318-212-3709
Dakota Shayne Barlow, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1666 E Bert Kouns Industrial Loop Ste 105, Shreveport, LA 71105 Phone: 318-212-3520
Carson Elizabeth Shetley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000

Leonard Terry Martin Jr, PA - Medicare Physician Assistant in Shreveport, LA