| Dr Gabriel James Mitchell, DPM | |
|
385 Bert Kouns Industrial Loop Ste 200, Shreveport, LA 71106-8158 | |
| (318) 687-8447 | |
| (318) 687-9950 |
| Full Name | Dr Gabriel James Mitchell |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 4 Years |
| Location | 385 Bert Kouns Industrial Loop Ste 200, 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 |
|---|---|---|---|
| 1871177105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 340437 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ark La Tex Foot And Ankle Specialists Llc | 7214931450 | 4 |
| Provider Name | Ark La Tex Foot & Ankle Specialists Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235168311 PECOS PAC ID: 7214931450 Enrollment ID: O20060831000181 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gabriel James Mitchell, DPM 592 Unadilla St, Shreveport, LA 71106-1240 Ph: (318) 519-7555 | Dr Gabriel James Mitchell, DPM 385 Bert Kouns Industrial Loop Ste 200, Shreveport, LA 71106-8158 Ph: (318) 687-8447 |
Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation 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 |