Fredric T Siskron Iv, MD in Shreveport, LA

Fredric T Siskron Iv, MD is a medicare enrolled "Urology" physician in Shreveport, Louisiana. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 1997 and has 29 years of diverse experience with area of expertise as Urology. He is a member of the group practice Wk Signature Urology Clinic, Deaconess Clinic Inc and his current practice location is 2551 Greenwood Rd, Suite 140, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 212-8899.

Fredric T Siskron Iv is licensed to practice in Louisiana (license number 023873) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437114824.

Contact Information

	Fredric T Siskron Iv, MD
	2551 Greenwood Rd, Suite 140, Shreveport, LA 71103-3981
	(318) 212-8899
	(318) 212-8806

Map and Direction

Physician's Profile

Full Name	Fredric T Siskron Iv
Gender	Male
Speciality	Urology
Experience	29 Years
Location	2551 Greenwood Rd, 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.

Medical Education and Training:

Fredric T Siskron Iv attended and graduated from Louisiana State University School Of Medicine In Shreveport in 1997

NPI Data:

NPI Number: 1437114824
Provider Enumeration Date: 04/19/2006
Last Update Date: 10/09/2025

Medicare PECOS Information:

PECOS PAC ID: 0840296174
Enrollment ID: I20061010000623

Medical Identifiers

Medical identifiers for Fredric T Siskron Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437114824	NPI	-	NPPES
1054232	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	01071979A (Indiana)	Secondary
208800000X	Urology	023873 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Willis Knighton Medical Center, Inc	Shreveport, LA	Hospital
Deaconess Hospital Inc	Evansville, IN	Hospital
Desoto Regional Health System	Mansfield, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wk Signature Urology Clinic	5597761825	2
Deaconess Clinic Inc	3375610116	353

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Fredric T Siskron Iv allows following entities to bill medicare on his behalf.

Entity Name	Wk Signature Urology Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225093610 PECOS PAC ID: 5597761825 Enrollment ID: O20061010000600

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fredric T Siskron Iv is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Fredric T Siskron Iv, MD 1541 Kings Hwy, Shreveport, LA 71103-4228 Ph: () -	Fredric T Siskron Iv, MD 2551 Greenwood Rd, Suite 140, Shreveport, LA 71103-3981 Ph: (318) 212-8899

Reviews and Comments

Urology Doctors in Shreveport, LA

Ralph Jonathan Henderson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 255 Bert Kouns, Shreveport, LA 71106 Phone: 318-683-0411 Fax: 318-603-5461
Dennis Dale Venable, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Urology, Shreveport, LA 71103 Phone: 318-813-2750 Fax: 318-813-2755
Alison Smith Spann, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 255 Bert Kouns Industrial Loop, Shreveport, LA 71106 Phone: 318-683-0411 Fax: 318-688-8525
Raymond Wendell Turner, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 9854 Jennifer Ln, Shreveport, LA 71106 Phone: 318-797-5786
Dr. Tajammul N Fazili, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411
Mrs. Ashley Sittig Baker, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 255 Bert Kouns, Shreveport, LA 71106 Phone: 318-683-0411 Fax: 318-603-5461
Andre Paul Broussard, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-5053

Fredric T Siskron Iv, MD - Medicare Urology in Shreveport, LA