| Kaitlyn P Briscoe, PA-C | |
|
500 S 6th St Ste A, Leesville, LA 71446-4470 | |
| (337) 239-8000 | |
| (337) 239-8003 |
| Full Name | Kaitlyn P Briscoe |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 500 S 6th St Ste A, Leesville, Louisiana |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801425087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 322198 (Louisiana) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 322198 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elara Caring | Leesville, LA | Home health agency |
| Byrd Regional Hospital | Leesville, LA | Hospital |
| Beauregard Memorial Hospital | Deridder, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Byrd Medical Clinic Inc | 2860460508 | 10 |
| Physical Therapy Services Of West Louisiana Inc | 0446388763 | 92 |
| Entity Name | Byrd Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801895495 PECOS PAC ID: 2860460508 Enrollment ID: O20040921000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlyn P Briscoe, PA-C 500 S 6th St Ste A, Leesville, LA 71446-4470 Ph: (337) 239-8000 | Kaitlyn P Briscoe, PA-C 500 S 6th St Ste A, Leesville, LA 71446-4470 Ph: (337) 239-8000 |
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 |
Callie Michelle Detz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1106 Port Arthur Ter, Leesville, LA 71446 Phone: 337-404-4075 |