| Marjorie R Chelly, MD | |
|
510 E Stoner Ave, Shreveport, LA 71101-4243 | |
| (318) 221-8411 | |
| Not Available |
| Full Name | Marjorie R Chelly |
|---|---|
| Gender | Female |
| Speciality | Plastic Surgery |
| Location | 510 E Stoner Ave, Shreveport, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033269303 | NPI | - | NPPES |
| 276655YH54 | Other | LA | MEDICARE - PTAN |
| 2324209 | Medicaid | TX |
| Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661 |
| 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 |
|---|---|
| Marjorie R Chelly, MD 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: (318) 675-7636 | Marjorie R Chelly, MD 510 E Stoner Ave, Shreveport, LA 71101-4243 Ph: (318) 221-8411 |
Dr. Wallace Harold Brown Ii, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2210 Line Ave, Suite 204, Shreveport, LA 71104 Phone: 318-221-9671 Fax: 318-425-2343 | |
Dr. Barron Johns O'neal, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2210 Line Ave, Suite 204, Shreveport, LA 71104 Phone: 318-221-9671 Fax: 318-425-2343 | |
Dr. Ronzee Mcintyre Bridges, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4300 Youree Dr, Suite 300, Shreveport, LA 71105 Phone: 318-219-8555 Fax: 318-219-8557 | |
Sergei Kalsow, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Surgery, Shreveport, LA 71103 Phone: 318-675-6111 Fax: 318-675-6141 |