Dr Barney Mathews Nicholson Jr, MD in Shreveport, LA - Medicare Surgery

Dr Barney Mathews Nicholson Jr, MD is a medicare enrolled "Surgery" physician in Shreveport, Louisiana. His current practice location is 510 E Stoner Ave, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 990-4989.

Dr Barney Mathews Nicholson Jr is licensed to practice in California (license number G 74505) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205827334.

Contact Information

	Dr Barney Mathews Nicholson Jr, MD
	510 E Stoner Ave, Shreveport, LA 71101-4243
	(318) 990-4989
	Not Available

Physician's Profile

Full Name	Dr Barney Mathews Nicholson Jr
Gender	Male
Speciality	Surgery
Location	510 E Stoner Ave, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205827334
Provider Enumeration Date: 10/28/2005
Last Update Date: 12/07/2022

Medicare PECOS Information:

PECOS PAC ID: 7012813793
Enrollment ID: I20180126001965

Medical Identifiers

Medical identifiers for Dr Barney Mathews Nicholson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205827334	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	G 74505 (California)	Primary

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. Dr Barney Mathews Nicholson Jr 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
Dr Barney Mathews Nicholson Jr, MD 10715 Longfellow Trce, Shreveport, LA 71106-9340 Ph: (601) 559-9770	Dr Barney Mathews Nicholson Jr, MD 510 E Stoner Ave, Shreveport, LA 71101-4243 Ph: (318) 990-4989

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Surgery Doctors in Shreveport, LA

James R Barnes, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Koun Loop, Suite #105, Shreveport, LA 71105 Phone: 318-798-4433 Fax: 318-798-4432
Mary T Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-6154
Dr. Paul E Perkowski, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833
Dr. James Booth Burke, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1202 Louisiana Avenue, Shreveport, LA 71101 Phone: 318-212-8780 Fax: 318-212-6752
Jennifer Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Surgery, Shreveport, LA 71103 Phone: 318-675-2655
Dr. Terry Lairmore, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Dr. Mark H Smith, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2751 Albert L Bicknell Dr, Suite 3d, Shreveport, LA 71103 Phone: 318-212-4799 Fax: 318-424-3642

Dr Barney Mathews Nicholson Jr, MD - Medicare Surgery in Shreveport, LA