Mr Michael Sibille, | |
3100 Samford Ave, Shreveport, LA 71103-4239 | |
(318) 222-5704 | |
Not Available |
Full Name | Mr Michael Sibille |
---|---|
Gender | Male |
Speciality | Occupational Therapist - Pediatrics |
Location | 3100 Samford Ave, Shreveport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427834951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
Provider Name | Shriners Hospitals For Children |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679617849 PECOS PAC ID: 9133031933 Enrollment ID: O20121203000457 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Sibille, 9000 W Wilderness Way Apt 202, Shreveport, LA 71106-6844 Ph: (337) 351-0713 | Mr Michael Sibille, 3100 Samford Ave, Shreveport, LA 71103-4239 Ph: (318) 222-5704 |
Jennie Moore Bange, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-813-2972 | |
Lynn Gibbs Jenkins, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3100 Samford Ave, Shreveport, LA 71103 Phone: 318-222-5704 | |
Amanda Benson, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4509 Clingman Dr, Shreveport, LA 71105 Phone: 318-540-8180 | |
Mrs. Emily E Dennis, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Claiborne Ave, Shreveport, LA 71103 Phone: 318-813-2970 Fax: 318-813-2975 | |
Jessica Russell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 302 Sadie Douglas Cir, Shreveport, LA 71106 Phone: 318-465-3743 | |
Kimberly Johnson, OCCUPATIONAL THERAPY Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8870 Youree Dr Ste 108, Shreveport, LA 71115 Phone: 318-344-8021 | |
Rachel Elizabeth Johns, MOT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-990-5271 |