| Katie Mae Gatewood, | |
|
40198 Byers Rd, Ponchatoula, LA 70454-6144 | |
| (985) 400-1556 | |
| Not Available |
| Full Name | Katie Mae Gatewood |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 40198 Byers Rd, Ponchatoula, Louisiana |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043187016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lane Regional Medical Center | Zachary, LA | Hospital |
| Entity Name | Cardiovascular Institute of the South, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982689113 PECOS PAC ID: 3779497441 Enrollment ID: O20031117000706 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Mae Gatewood, 40198 Byers Rd, Ponchatoula, LA 70454-6144 Ph: Not Available | Katie Mae Gatewood, 40198 Byers Rd, Ponchatoula, LA 70454-6144 Ph: (985) 400-1556 |
Mr. Seth Michael Stephens, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 64 Weldon Cir, Ponchatoula, LA 70454 Phone: 337-376-3569 |
Kimberly Christine Benson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 180 N 5th St, Ponchatoula, LA 70454 Phone: 985-370-7546 Fax: 985-370-7765 |