| Elizabeth Michelle Doolittle, PA-C | |
|
2449 Hospital Dr Ste 300, Bossier City, LA 71111 | |
| (318) 212-7960 | |
| (318) 212-7965 |
| Full Name | Elizabeth Michelle Doolittle |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 2449 Hospital Dr Ste 300, Bossier City, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609097070 | NPI | - | NPPES |
| 1004383 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA.200120 (Louisiana) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 200120 (Louisiana) | Secondary |
| Entity Name | Louisiana State University Health Sciences Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417992249 PECOS PAC ID: 6103730908 Enrollment ID: O20031208000275 |
| Entity Name | WK Transplant Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528307238 PECOS PAC ID: 2365689627 Enrollment ID: O20130507000040 |
| Entity Name | WK Advanced Surgery Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609110634 PECOS PAC ID: 9436302890 Enrollment ID: O20130529000941 |
| Entity Name | WK Spine & Pain Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982065645 PECOS PAC ID: 0547569840 Enrollment ID: O20160506001862 |
| 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 |
|---|---|
| Elizabeth Michelle Doolittle, PA-C 1202 Louisiana Ave, Shreveport, LA 71101-3910 Ph: (318) 212-8951 | Elizabeth Michelle Doolittle, PA-C 2449 Hospital Dr Ste 300, Bossier City, LA 71111 Ph: (318) 212-7960 |
Amy J Roks, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2449 Hospital Dr Ste 210, Bossier City, LA 71111 Phone: 318-212-7280 Fax: 318-212-7278 |
Charles Wayne Culpepper, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1518 Doctors Dr, Bossier City, LA 71111 Phone: 318-746-1094 Fax: 318-746-2808 |
Lucas Moncla, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Hospital Dr Ste 130, Bossier City, LA 71111 Phone: 318-212-7990 Fax: 318-212-7995 |
Kerri Lucken Tynes, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2300 Hospital Dr, Suite 450, Bossier City, LA 71111 Phone: 318-752-2328 Fax: 318-746-0160 |
Mr. Paul Allen Ballard, PA-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5025 Shed Rd, Bossier City, LA 71111 Phone: 318-798-4623 Fax: 318-795-4742 |
Abigail Davis Bogan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5341 Airline Dr, Bossier City, LA 71111 Phone: 318-935-1820 |
Kayce Nichols Jones, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2120 Airline Dr, Bossier City, LA 71111 Phone: 318-742-6900 Fax: 318-742-3900 |