Dr Cassell Hudson, DPM | |
2855 Long Lake Dr, Shreveport, LA 71106 | |
(318) 797-4169 | |
(318) 797-4169 |
Full Name | Dr Cassell Hudson |
---|---|
Gender | Female |
Speciality | Podiatrist |
Location | 2855 Long Lake Dr, 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 |
---|---|---|---|
1982698023 | NPI | - | NPPES |
1993085 | Medicaid | LA | |
5DP32 | Other | LA | GROUP PTAN : 5DP32 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | PD149R (Louisiana) | Primary |
Provider Name | Mobile Foot Specialist, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619164894 PECOS PAC ID: 7214051291 Enrollment ID: O20100827000092 |
Mailing Address | Practice Location Address |
---|---|
Dr Cassell Hudson, DPM Po Box 52834, Shreveport, LA 71135-2834 Ph: (318) 797-4169 | Dr Cassell Hudson, DPM 2855 Long Lake Dr, Shreveport, LA 71106 Ph: (318) 797-4169 |
Southside Foot Clinic 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 | |
Ark La Tex Foot & Ankle Specialists, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 385 Bert Kouns, Bldg. 200, Shreveport, LA 71106 Phone: 318-687-8447 Fax: 318-687-9950 | |
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 |