| Diabetic Care Centers Of Louisiana Inc | |
|
7659 Gilbert St. Suite D Gilbert LA 71336 | |
| (318) 657-1220 | |
| (318) 367-1376 |
| Full Name | Diabetic Care Centers Of Louisiana Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7659 Gilbert St., Gilbert, Louisiana |
| Authorized Official Name and Position | Michael Shane Davidson (OWNER/MANAGER) |
| Authorized Official Contact | 3185121176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetic Care Centers Of Louisiana Inc 7659 Gilbert St. Suite D Gilbert LA 71336-3427 Ph: () - | Diabetic Care Centers Of Louisiana Inc 7659 Gilbert St. Suite D Gilbert LA 71336 Ph: (318) 657-1220 |
| NPI Number | 1174238752 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 06/21/2023 |
| Medicare PECOS PAC ID | 5395104202 |
|---|---|
| Medicare Enrollment ID | O20230710001792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174238752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joel Eldridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053365130 PECOS PAC ID: 6800804592 Enrollment ID: I20060322000078 |
| Provider Name | Melissa D Futrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366823809 PECOS PAC ID: 7416260914 Enrollment ID: I20150713001698 |
| Provider Name | Emily Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255884102 PECOS PAC ID: 5294098422 Enrollment ID: I20180420001646 |
| Provider Name | Ashley Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750872701 PECOS PAC ID: 9234470923 Enrollment ID: I20190830000073 |
| Provider Name | Leigh Ann Chafton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497324818 PECOS PAC ID: 8820493356 Enrollment ID: I20210823000866 |
Franklin Parish Hospital Service Dist 1 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7645 Gilbert Street, Gilbert, LA 71336 Phone: 318-435-9411 |