| 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  |