Mrs Nicolette Denee Shafto, PA - Medicare Physician Assistant in Shreveport, LA

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Mrs Nicolette Denee Shafto, PA is a medicare enrolled "Physician Assistant - Medical" in Shreveport, Louisiana. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is 1811 E Bert Kouns Industrial Loop Ste 210, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 212-3858.

Mrs Nicolette Denee Shafto is licensed to practice in Louisiana (license number PA.200885) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417325218.

Contact Information

Mrs Nicolette Denee Shafto, PA
1811 E Bert Kouns Industrial Loop Ste 210,
Shreveport, LA 71105-5740
(318) 212-3858
(318) 212-3958

Map and Direction




Provider's Profile

Full NameMrs Nicolette Denee Shafto
GenderFemale
SpecialityPhysician Assistant
Experience11 Years
Location1811 E Bert Kouns Industrial Loop Ste 210, Shreveport, Louisiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Nicolette Denee Shafto graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1417325218
  • Provider Enumeration Date: 09/10/2015
  • Last Update Date: 06/24/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9436455706
  • Enrollment ID: I20160311002111

Medical Identifiers

Medical identifiers for Mrs Nicolette Denee Shafto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417325218NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA.200885 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fmol Health | Our Lady Of The LakeBaton rouge, LAHospital
Willis Knighton Medical Center, IncShreveport, LAHospital

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. Mrs Nicolette Denee Shafto allows following entities to bill medicare on her behalf.
Entity NameProfessional Emergency Physician Associates, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992758247
PECOS PAC ID: 1759317092
Enrollment ID: O20050708000778
Entity NameCvt Surgical Center, Amc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043252380
PECOS PAC ID: 5991739468
Enrollment ID: O20050923000384
Entity NameOur Lady of the Lake Physician Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033494943
PECOS PAC ID: 4587849781
Enrollment ID: O20120529000377
Entity NameCongress Emergency Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912316944
PECOS PAC ID: 1557580354
Enrollment ID: O20140909002128
Entity NameWK Pierremont Cardiology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235523002
PECOS PAC ID: 0547571499
Enrollment ID: O20150618000783

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. Mrs Nicolette Denee Shafto 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 AddressPractice Location Address
Mrs Nicolette Denee Shafto, PA
1202 Louisiana Ave,
Shreveport, LA 71101-3910

Ph: (318) 716-4908		Mrs Nicolette Denee Shafto, PA
1811 E Bert Kouns Industrial Loop Ste 210,
Shreveport, LA 71105-5740

Ph: (318) 212-3858

Reviews and Comments


Physician Assistant Nurses in Shreveport, LA

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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.