| Mr Andre' Jacob Carpenter, PA | |
|
2751 Albert L Bicknell Dr, 4th Floor, Shreveport, LA 71103-3920 | |
| (318) 212-4275 | |
| (318) 212-4555 |
| Full Name | Mr Andre' Jacob Carpenter |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2751 Albert L Bicknell Dr, Shreveport, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255618591 | NPI | - | NPPES |
| 2173561 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA200495 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Andre' Jacob Carpenter, PA 2751 Albert L Bicknell Dr, 4th Floor, Shreveport, LA 71103-3920 Ph: (318) 212-4275 | Mr Andre' Jacob Carpenter, PA 2751 Albert L Bicknell Dr, 4th Floor, Shreveport, LA 71103-3920 Ph: (318) 212-4275 |
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 |