| Suzanne M Burke, PA | |
|
7847 Youree Dr, Shreveport, LA 71105-5505 | |
| (318) 212-3930 | |
| (318) 212-3935 |
| Full Name | Suzanne M Burke |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 7847 Youree Dr, 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 |
|---|---|---|---|
| 1730324724 | NPI | - | NPPES |
| 1356239 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA200242 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wk Orthopedic Clinic | 9436174489 | 21 |
| Entity Name | Larry K. Broadwell, M.D., a Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689766271 PECOS PAC ID: 7113984402 Enrollment ID: O20041218000025 |
| Entity Name | WK Orthopedic Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780612119 PECOS PAC ID: 9436174489 Enrollment ID: O20051010000591 |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne M Burke, PA 1202 Louisiana Ave, Shreveport, LA 71101-3910 Ph: (318) 212-8951 | Suzanne M Burke, PA 7847 Youree Dr, Shreveport, LA 71105-5505 Ph: (318) 212-3930 |
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 |