| Dr Shondra L Smith, MD | |
|
3635 Nelson Road, Lake Charles, LA 70605-0000 | |
| (337) 477-0011 | |
| (337) 477-0010 |
| Full Name | Dr Shondra L Smith |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 26 Years |
| Location | 3635 Nelson Road, Lake Charles, 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 |
|---|---|---|---|
| 1134117898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 021924 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Charles Memorial Hospital | Lake charles, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shondra L. Smith, Md | 9436113487 | 4 |
| Entity Name | Shondra L. Smith, Md |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447248166 PECOS PAC ID: 9436113487 Enrollment ID: O20041118000674 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shondra L Smith, MD 3635 Nelson Road, Lake Charles, LA 70605-0000 Ph: (337) 477-0011 | Dr Shondra L Smith, MD 3635 Nelson Road, Lake Charles, LA 70605-0000 Ph: (337) 477-0011 |
Dr. Michael Eddie Cormier, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2000 Tybee St, Lake Charles, LA 70605 Phone: 337-433-7272 Fax: 337-433-0730 | |
Lee Martin Miller, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2000 Tybee St, Lake Charles, LA 70605 Phone: 337-433-7272 Fax: 337-433-0730 | |
Dr. Brian Paul Ford, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2000 Tybee St, Lake Charles, LA 70605 Phone: 337-433-7272 Fax: 337-433-0730 | |
Dr. Jenna Roach, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2000 Tybee Ln, Lake Charles, LA 70605 Phone: 337-433-7272 Fax: 337-433-0730 | |
Dr. Kevin A Guidry, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2000 Tybee St, Lake Charles, LA 70605 Phone: 337-433-7272 Fax: 337-433-0730 | |
Mrs. Maureen Olivier, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4150 Nelson Rd, Building E Suite 1, Lake Charles, LA 70605 Phone: 337-474-1386 Fax: 337-474-2845 |