Evetta Lavern Borden, DPM in Shreveport, LA - Medicare Podiatrist Provider

Evetta Lavern Borden, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Shreveport, Louisiana. Her current practice location is 510 E Stoner Ave, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (912) 977-0584.

Evetta Lavern Borden is licensed to practice in Georgia (license number POD000770) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215946702.

Contact Information

	Evetta Lavern Borden, DPM
	510 E Stoner Ave, Shreveport, LA 71101-4243
	(912) 977-0584
	Not Available

Healthcare Provider's Profile

Full Name	Evetta Lavern Borden
Gender	Female
Speciality	Podiatrist - Foot 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: 1215946702
Provider Enumeration Date: 08/05/2006
Last Update Date: 09/01/2023

Medicare PECOS Information:

PECOS PAC ID: 6608804059
Enrollment ID: I20190315001909

Medical Identifiers

Medical identifiers for Evetta Lavern Borden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215946702	NPI	-	NPPES
00719804B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0131X	Podiatrist - Foot Surgery	POD000770 (Georgia)	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. Evetta Lavern Borden 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
Evetta Lavern Borden, DPM 614 Westmoreland Dr, Hinesville, GA 31313-4419 Ph: (912) 977-0584	Evetta Lavern Borden, DPM 510 E Stoner Ave, Shreveport, LA 71101-4243 Ph: (912) 977-0584

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Podiatrist in Shreveport, LA

Southside Foot Clinic Podiatrist Medicare: Medicare Enrolled Practice Location: 9308 Mansfield Rd, Ste 100, Shreveport, LA 71118 Phone: 318-687-6266 Fax: 318-683-1023
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
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

Evetta Lavern Borden, DPM - Medicare Podiatrist in Shreveport, LA