| Dr Jill Anne Ferguson, MD | |
|
2915 Missouri Ave, Shreveport, LA 71109-4327 | |
| (318) 621-8820 | |
| (318) 212-4189 |
| Full Name | Dr Jill Anne Ferguson |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 18 Years |
| Location | 2915 Missouri Ave, 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 |
|---|---|---|---|
| 1093975039 | NPI | - | NPPES |
| MD.205414 | Other | LA | LA - STATE LICENSE MD |
| 12373627 | Other | LA | CAQH PROVIDER ID |
| P01099769 | Other | LA | RR MEDICARE |
| 2302086 | Medicaid | LA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Delta Pathology Group Llc | 4789639089 | 29 |
| The Delta Pathology Group Llc | 4789639089 | 29 |
| Entity Name | The Delta Pathology Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548258973 PECOS PAC ID: 4789639089 Enrollment ID: O20050321000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jill Anne Ferguson, MD Po Box 731280, Dallas, TX 75373-1280 Ph: (318) 841-9526 | Dr Jill Anne Ferguson, MD 2915 Missouri Ave, Shreveport, LA 71109-4327 Ph: (318) 621-8820 |
Kshitij Satnamdas Arora, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Fleurette Wilheimina Abreo, MBBS Pathology Medicare: Not Enrolled in Medicare Practice Location: 2915 Missouri Ave, Shreveport, LA 71109 Phone: 318-621-8820 Fax: 318-212-4189 | |
Dr. Fredric Thomas Siskron, MD Pathology Medicare: Medicare Enrolled Practice Location: 2915 Missouri Ave, Shreveport, LA 71109 Phone: 318-364-2000 | |
Dr. George K. Harrison, MD Pathology Medicare: Medicare Enrolled Practice Location: 2915 Missouri Ave, Shreveport, LA 71109 Phone: 318-364-2000 | |
Warren Donovan Grafton, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Pathology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666 | |
Dr. Maria-magdalena Georgescu, M.D., PH.D. Pathology Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-4929 |