| Todd S Ellison, PA | |
|
1501 Kings Hwy, Department Of Emergency Medicine, Shreveport, LA 71103-4228 | |
| (318) 675-7737 | |
| (318) 675-5666 |
| Full Name | Todd S Ellison |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1501 Kings Hwy, Shreveport, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093731762 | NPI | - | NPPES |
| 1626350 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | A10597 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Todd S Ellison, PA 1501 Kings Hwy, Department Of Emergency Medicine, Shreveport, LA 71103-4228 Ph: (318) 675-7737 | Todd S Ellison, PA 1501 Kings Hwy, Department Of Emergency Medicine, Shreveport, LA 71103-4228 Ph: (318) 675-7737 |
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: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Carson Shetley Holtzclaw, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6841 Fern Ave Ste 100, Shreveport, LA 71105 Phone: 318-868-2273 Fax: 318-868-4219 |