| Eric Todd Simolke, PA | |
|
1453 E Bert Kouns Industrial Loop Ste 319, Shreveport, LA 71105-6800 | |
| (318) 681-1968 | |
| (318) 681-1969 |
| Full Name | Eric Todd Simolke |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 1453 E Bert Kouns Industrial Loop Ste 319, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316960966 | NPI | - | NPPES |
| 1624918 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.A10318 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Specialists Hospital Shreveport | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spine Institute Of Louisiana Llc | 3375719446 | 13 |
| 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 | C H Wilkinson Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457382947 PECOS PAC ID: 8921919580 Enrollment ID: O20070911000793 |
| Entity Name | Spine Institute of Louisiana LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629369210 PECOS PAC ID: 3375719446 Enrollment ID: O20111221000092 |
| 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 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20200910000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Todd Simolke, PA Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 606-6400 | Eric Todd Simolke, PA 1453 E Bert Kouns Industrial Loop Ste 319, Shreveport, LA 71105-6800 Ph: (318) 681-1968 |
Tate James Perque, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1453 E Bert Kouns Industrial Loop Ste 318, Shreveport, LA 71105 Phone: 318-681-1968 Fax: 318-681-1969 |
Jennifer B Cypher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 |
Mrs. Kristi Harrison Gaspard, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8383 Millicent Way, Shreveport, LA 71115 Phone: 318-797-6661 Fax: 318-795-8512 |
Susan Lenora Steen, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Neurosurgery, Shreveport, LA 71103 Phone: 318-675-6901 Fax: 318-675-4819 |
Jeanette Catherine Pang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7925 Youree Dr Ste 200, Shreveport, LA 71105 Phone: 318-212-3610 Fax: 318-212-3709 |
Dakota Shayne Barlow, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1811 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105 Phone: 318-212-3858 Fax: 318-212-3958 |
Heather Vogel, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 337-515-2538 |