| Elena Gonzalez Caldito, MD | |
|
1541 Kings Hwy, Shreveport, LA 71103-4228 | |
| (318) 626-0000 | |
| Not Available |
| Full Name | Elena Gonzalez Caldito |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 11 Years |
| Location | 1541 Kings Hwy, 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 |
|---|---|---|---|
| 1114403623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 343053 (Louisiana) | Primary |
| 207R00000X | Internal Medicine | 343053 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ochsner Lsu Health Shreveport | Shreveport, LA | Hospital |
| Ochsner Lsu Health Shreveport-st Mary Medical Cent | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lsu Health Sciences Center Shreveport Faculty Group Practice | 4082902721 | 567 |
| Entity Name | LSU Health Sciences Center Shreveport Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Elena Gonzalez Caldito, MD 1541 Kings Hwy, Attn: Payor Credentialing, Shreveport, LA 71103-4228 Ph: Not Available | Elena Gonzalez Caldito, MD 1541 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 626-0000 |
John Paul Miller, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8730 Youree Dr Ste A-b, Shreveport, LA 71115 Phone: 318-408-1505 Fax: 318-408-1506 |
Steven Cooper Heard, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9007 Ellerbe Rd., Shreveport, LA 71106 Phone: 318-222-3278 Fax: 318-424-3155 |
David Cooksey, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4677 Fax: 318-798-4417 |
Mrs. Anne B Bryan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9007 Ellerbe Rd, Shreveport, LA 71106 Phone: 318-222-3278 Fax: 318-424-3155 |
Mr. David J Clemons, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 845 Olive St, Shreveport, LA 71104 Phone: 318-222-3278 Fax: 318-421-3155 |
Dr. Skylar Amanda Souyoul, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 8525 Line Ave, Shreveport, LA 71106 Phone: 318-708-9408 |
Mr. Donald I Posner, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 845 Olive St, Shreveport, LA 71104 Phone: 318-222-3278 Fax: 318-421-3155 |