- Medicare Podiatrist in Shreveport, LA

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is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Shreveport, Louisiana. Their current practice location is 385 Bert Kouns, Bldg. 200, Shreveport, Louisiana. You can reach out to their office (for appointments etc.) via phone at (318) 687-8447.

is licensed to practice in Louisiana (license number PD067R / PD207R) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1235168311.

Contact Information

385 Bert Kouns, Bldg. 200,
Shreveport, LA 71106-8158
(318) 687-8447
(318) 687-9950

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityPodiatrist - Foot & Ankle Surgery
Location385 Bert Kouns, Shreveport, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235168311
  • Provider Enumeration Date: 07/01/2006
  • Last Update Date: 02/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7214931450
  • Enrollment ID: O20060831000181

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235168311NPI-NPPES
1706736MedicaidLA
DE9683OtherLARR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery PD067R / PD207R (Louisiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameRichard B Drummond
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1437126786
PECOS PAC ID: 7214943513
Enrollment ID: I20060224000022
Provider NameGregory W Bryan
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1528035888
PECOS PAC ID: 9830193077
Enrollment ID: I20060901000015
Provider NameWilliam K Andress
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1417316258
PECOS PAC ID: 0749570588
Enrollment ID: I20160607000274
Provider NameGabriel Mitchell
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1871177105
PECOS PAC ID: 4587003660
Enrollment ID: I20240423000625

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. 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 AddressPractice Location Address

385 Bert Kouns, Bldg. 200,
Shreveport, LA 71106-8158

Ph: (318) 687-8447
385 Bert Kouns, Bldg. 200,
Shreveport, LA 71106-8158

Ph: (318) 687-8447

Reviews and Comments


Podiatrist in Shreveport, LA


Podiatrist
Medicare: Medicare Enrolled
Practice Location: 9308 Mansfield Rd, Ste 100, Shreveport, LA 71118
Phone: 318-687-6266    Fax: 318-683-1023
Dr. Alaye Eldred Whyte, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1718 Kings Hwy, Shreveport, LA 71103
Phone: 318-636-2669    Fax: 318-636-2663
Dr. Frederick Jacques Hall, D.P.M.
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 510 E Stoner Ave, Shreveport, LA 71101
Phone: 678-640-5685    
Dr. Dale Carlton Fazio, D.P.M.
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 1914 E 70th St, Suite D, Shreveport, LA 71105
Phone: 318-797-3470    Fax: 318-797-9956
Evetta Lavern Borden, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 510 E Stoner Ave, Shreveport, LA 71101
Phone: 912-977-0584    
Dr. Sheila D. Washington, D.P.M.
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 510 E Stoner Ave, Shreveport, LA 71101
Phone: 318-221-8411    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.