Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation in Shreveport, LA

Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Shreveport, Louisiana. Their current practice location is 9308 Mansfield Rd, Ste 100, Shreveport, Louisiana. You can reach out to their office (for appointments etc.) via phone at (318) 687-6266.

Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation is licensed to practice in Louisiana (license number 5B496) and it also participates in the medicare program. Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1033111240.

Contact Information

	Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation
	9308 Mansfield Rd, Ste 100, Shreveport, LA 71118-3134
	(318) 687-6266
	(318) 683-1023

Map and Direction

Healthcare Provider's Profile

Full Name	Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation
Type	Facility
Speciality	Podiatrist - Foot & Ankle Surgery
Location	9308 Mansfield Rd, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033111240
Provider Enumeration Date: 06/01/2005
Last Update Date: 06/08/2023

Medicare PECOS Information:

PECOS PAC ID: 3971547316
Enrollment ID: O20050616000008

Medical Identifiers

Medical identifiers for Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033111240	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	5B496 (Louisiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation acts as a billing entity for following providers:

Provider Name	Stephen E Ertz
Provider Type	Practitioner - Podiatry
Provider Identifiers	NPI Number: 1356321681 PECOS PAC ID: 4880638220 Enrollment ID: I20120105000973

Provider Name	Richard T Havens
Provider Type	Practitioner - Podiatry
Provider Identifiers	NPI Number: 1285643908 PECOS PAC ID: 0547375602 Enrollment ID: I20120127000457

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. Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation 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 Address	Practice Location Address
Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation 9308 Mansfield Rd, Ste 100, Shreveport, LA 71118-3134 Ph: (318) 687-6266	Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation 9308 Mansfield Rd, Ste 100, Shreveport, LA 71118-3134 Ph: (318) 687-6266

Reviews and Comments

Podiatrist in Shreveport, LA

Dr. Alaye Eldred Whyte, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1718 Kings Hwy, Shreveport, LA 71103 Phone: 318-636-2669 Fax: 318-636-2663
Dr. Frederick Jacques Hall, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 678-640-5685
Dr. Dale Carlton Fazio, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1914 E 70th St, Suite D, Shreveport, LA 71105 Phone: 318-797-3470 Fax: 318-797-9956
Evetta Lavern Borden, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 912-977-0584
Ark La Tex Foot & Ankle Specialists, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 385 Bert Kouns, Bldg. 200, Shreveport, LA 71106 Phone: 318-687-8447 Fax: 318-687-9950
Dr. Sheila D. Washington, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411

Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation - Medicare Podiatrist in Shreveport, LA