Dr Chesley Lelwynn Gregory, MD,OD | |
9425 Healthplex Dr Ste 101, Shreveport, LA 71106-8154 | |
(318) 683-5171 | |
(318) 683-5182 |
Full Name | Dr Chesley Lelwynn Gregory |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 15 Years |
Location | 9425 Healthplex Dr Ste 101, Shreveport, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861410730 | NPI | - | NPPES |
1578240 | Medicaid | LA | |
1150631 | Medicaid | LA | |
1578240 | Other | LA | MEDICAID (TIE BREAKER TAXONOMY 207Q00000X) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 765-002T (Louisiana) | Secondary |
207P00000X | Emergency Medicine | 202699 (Louisiana) | Secondary |
207Q00000X | Family Medicine | 202699 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Desoto Regional Health System | Mansfield, LA | Hospital |
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthplex Family Clinic, Llc | 1850361742 | 3 |
Oakdale Ess Llc | 7517289713 | 13 |
Provider Name | Healthplex Family Clinic, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053495374 PECOS PAC ID: 1850361742 Enrollment ID: O20040728001032 |
Provider Name | Oakdale Ess Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750785119 PECOS PAC ID: 7517289713 Enrollment ID: O20141125000402 |
Provider Name | Leatherwood Emergency Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760946313 PECOS PAC ID: 0749521250 Enrollment ID: O20190410002335 |
Provider Name | Hodges Emergency Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710441316 PECOS PAC ID: 2567703978 Enrollment ID: O20190412000898 |
Mailing Address | Practice Location Address |
---|---|
Dr Chesley Lelwynn Gregory, MD,OD 9425 Healthplex Dr Ste 101, Shreveport, LA 71106-8154 Ph: (318) 683-5171 | Dr Chesley Lelwynn Gregory, MD,OD 9425 Healthplex Dr Ste 101, Shreveport, LA 71106-8154 Ph: (318) 683-5171 |