| Elizabeth L Clemons, MD | |
|
2300 Hospital Dr, Ste 400, Bossier City, LA 71111-2180 | |
| (318) 222-3278 | |
| Not Available |
| Full Name | Elizabeth L Clemons |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 17 Years |
| Location | 2300 Hospital Dr, Bossier City, 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 |
|---|---|---|---|
| 1881854883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | A119801 (California) | Secondary |
| 207N00000X | Dermatology | MD.204911 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wk Dermatology Clinic | 5092814434 | 4 |
| Entity Name | Dermatology And Skin Surgery Apmc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023005758 PECOS PAC ID: 5294627683 Enrollment ID: O20051117000768 |
| Entity Name | Wk Dermatology Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538372883 PECOS PAC ID: 5092814434 Enrollment ID: O20070626000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth L Clemons, MD 2300 Hospital Dr, Ste 400, Bossier City, LA 71111-2180 Ph: (318) 222-3278 | Elizabeth L Clemons, MD 2300 Hospital Dr, Ste 400, Bossier City, LA 71111-2180 Ph: (318) 222-3278 |
Dr. Sarah E. Glorioso, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr., Suite 400, Bossier City, LA 71111 Phone: 318-212-7800 Fax: 318-212-7802 | |
Dr. George Michael Kent, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2910 Shed Rd, Bossier City, LA 71111 Phone: 318-742-5124 Fax: 318-746-6080 | |
Mrs. Josephine Futrell, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Dr, Suite 400, Bossier City, LA 71111 Phone: 318-212-7800 Fax: 318-212-7805 |