| Callie Michelle Detz, PA-C | |
|
1106 Port Arthur Ter, Leesville, LA 71446-4643 | |
| (337) 404-4075 | |
| Not Available |
| Full Name | Callie Michelle Detz |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 1106 Port Arthur Ter, Leesville, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952057929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 330204 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Natchitoches Regional Medical Center | Natchitoches, LA | Hospital |
| Beauregard Memorial Hospital | Deridder, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Calcasieu Urgent Care Llc | 5496908071 | 132 |
| Rh Emergency Medicine Of Natchitoches Llc | 4789173832 | 16 |
| Entity Name | Calcasieu Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467715490 PECOS PAC ID: 5496908071 Enrollment ID: O20130109000768 |
| Entity Name | Concord Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20140930001176 |
| Entity Name | Nes Louisiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669922431 PECOS PAC ID: 5496651002 Enrollment ID: O20161116002239 |
| Entity Name | Upperline Healthcare PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538686498 PECOS PAC ID: 4385900653 Enrollment ID: O20250729004032 |
| Entity Name | RH Emergency Medicine of Natchitoches LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821974825 PECOS PAC ID: 4789173832 Enrollment ID: O20251029001145 |
| Mailing Address | Practice Location Address |
|---|---|
| Callie Michelle Detz, PA-C 1840 Vfw Rd, Leesville, LA 71446-6312 Ph: (337) 396-5829 | Callie Michelle Detz, PA-C 1106 Port Arthur Ter, Leesville, LA 71446-4643 Ph: (337) 404-4075 |
Mrs. Tess Dowdle Cooley, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 301 W Fertitta Blvd Ste 1, Leesville, LA 71446 Phone: 337-238-0167 Fax: 337-238-0574 |
Christopher Thomas Butler, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 802 S 10th St, Suite C, Leesville, LA 71446 Phone: 337-239-2077 Fax: 337-239-2583 |
Daniel K Crook, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1106 Port Arthur Ter, Leesville, LA 71446 Phone: 337-404-4075 Fax: 337-446-2548 |
Mrs. Dawn Cheatham Lemieux, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1201 W Fertitta Blvd, Leesville, LA 71446 Phone: 337-238-0620 Fax: 337-238-0530 |
Rachael Garrison, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1020 W Fertitta Blvd, Leesville, LA 71446 Phone: 337-239-9041 |
Kaitlyn P Briscoe, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 500 S 6th St Ste A, Leesville, LA 71446 Phone: 337-239-8000 Fax: 337-239-8003 |