Dr Fredric Thomas Siskron, MD - Medicare Pathology in Shreveport, LA

Dr Fredric Thomas Siskron, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Shreveport, Louisiana. His current practice location is 2915 Missouri Ave, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 364-2000.

Dr Fredric Thomas Siskron is licensed to practice in Louisiana (license number 010722) 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 1023006590.

Contact Information

Dr Fredric Thomas Siskron, MD
2915 Missouri Ave,
Shreveport, LA 71109-4327
(318) 364-2000
Not Available



Physician's Profile

Full NameDr Fredric Thomas Siskron
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location2915 Missouri Ave, Shreveport, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023006590
  • Provider Enumeration Date: 10/10/2005
  • Last Update Date: 04/11/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4587799523
  • Enrollment ID: I20100316001008

Medical Identifiers

Medical identifiers for Dr Fredric Thomas Siskron such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023006590NPI-NPPES
1920886MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 010722 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Fredric Thomas Siskron allows following entities to bill medicare on his behalf.
Entity NameThe Delta Pathology Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548258973
PECOS PAC ID: 4789639089
Enrollment ID: O20050321000139

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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 Fredric Thomas Siskron 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 AddressPractice Location Address
Dr Fredric Thomas Siskron, MD
Po Box 731280,
Dallas, TX 75373-1280

Ph: () -
Dr Fredric Thomas Siskron, MD
2915 Missouri Ave,
Shreveport, LA 71109-4327

Ph: (318) 364-2000

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Pathology Doctors in Shreveport, LA

Kshitij Satnamdas Arora,
Pathology
Medicare: Medicare Enrolled
Practice Location: 1541 Kings Hwy, Shreveport, LA 71103
Phone: 318-626-0000    
Fleurette Wilheimina Abreo, MBBS
Pathology
Medicare: Medicare Enrolled
Practice Location: 2915 Missouri Ave, Shreveport, LA 71109
Phone: 318-621-8820    Fax: 318-212-4189
Sara Samadzadeh, M.D
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Kings Hwy, Shreveport, LA 71103
Phone: 310-938-4285    
Dr. George K. Harrison, MD
Pathology
Medicare: Medicare Enrolled
Practice Location: 2915 Missouri Ave, Shreveport, LA 71109
Phone: 318-364-2000    
Warren Donovan Grafton, M.D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 1501 Kings Hwy, Department Of Pathology, Shreveport, LA 71103
Phone: 318-675-7737    Fax: 318-675-5666
Dr. Maria-magdalena Georgescu, M.D., PH.D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 1501 Kings Hwy, Shreveport, LA 71103
Phone: 318-675-4929    

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