| Mrs Nicolette Denee Shafto, PA | |
|
1811 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105-5740 | |
| (318) 212-3858 | |
| (318) 212-3958 |
| Full Name | Mrs Nicolette Denee Shafto |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 1811 E Bert Kouns Industrial Loop Ste 210, Shreveport, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417325218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA.200885 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Our Lady Of The Lake Physician Group Llc | 4587849781 | 632 |
| Mailing Address | Practice 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 |
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 |