Mrs Marietta Suzanne Shepherd, PT | |
6723 Pines Rd Ste 112, Shreveport, LA 71129-2590 | |
(318) 563-3944 | |
Not Available |
Full Name | Mrs Marietta Suzanne Shepherd |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 24 Years |
Location | 6723 Pines Rd Ste 112, Shreveport, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063010148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 04834 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Therateam Outpatient Services, Llc | 5597995233 | 3 |
Provider Name | Therateam Outpatient Services, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821333055 PECOS PAC ID: 5597995233 Enrollment ID: O20140225002228 |
Mailing Address | Practice Location Address |
---|---|
Mrs Marietta Suzanne Shepherd, PT 6723 Pines Rd Ste 112, Shreveport, LA 71129-2590 Ph: (318) 562-3944 | Mrs Marietta Suzanne Shepherd, PT 6723 Pines Rd Ste 112, Shreveport, LA 71129-2590 Ph: (318) 563-3944 |
Suzannah Kathryn York - Crump, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 266 Ockley Dr, Shreveport, LA 71105 Phone: 337-580-0083 Fax: 337-580-0083 | |
Anna Means Moore, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2950 Fairfield Ave, Shreveport, LA 71104 Phone: 318-841-0696 Fax: 318-841-0776 | |
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Archna Shasta, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7591 Fern Ave Ste 1203, Shreveport, LA 71105 Phone: 318-828-2972 | |
Eberhardt Physical Therapy & Wellness Clinic, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 820 Jordan St Ste 150, Shreveport, LA 71101 Phone: 318-222-7442 Fax: 318-424-4751 | |
Claire Marie Melebeck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Claiborne Ave, School Of Allied Health, Shreveport, LA 71103 Phone: 318-813-2961 Fax: 318-813-2989 | |
Michael Wayne Wiltcher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10178 Berrywood Cir, Shreveport, LA 71106 Phone: 318-469-4349 |